What is your name?

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* 1. What is your name?

Phone Number

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* 2. Phone Number

Email

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* 3. Email

Would you be interested in Part Time or Full Time?

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* 4. Would you be interested in Part Time or Full Time?

What motivates you?

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* 5. What motivates you?

What are your financial goals?

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* 6. What are your financial goals?

Who else do you know that would want to make an extra $400 a week?

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* 7. Who else do you know that would want to make an extra $400 a week?

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