Aspirant Pre-Coaching Survey

Please take a few minutes to answer the questions below so that we can be as valuable as possible to you and your agency and assist you in accomplishing your goals

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* 1. What is your first and last name?

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* 2. What is your agent's First and Last name?

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* 3. Which Aspirant Coaching Class are you enrolled in?

January Start

March Start

May Start

July Start

September Start

November Start

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* 4. What company are you with?

State Farm

Allstate

FBFS

American-National

Other

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* 5. What do you most want to get out of this coaching program?

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* 6. On a scale of 1-5 how would you rate your team?

5- Everyone on my team is writing business, they have great attitudes, and we have a fun/positive culture

4- I have one or two productive team members, but they could become better if they had the right coaching

3- My team has a good attitude, but they are struggling to write business, and need someone to coach them and push them

2- My team is willing and wants to learn but they are inexperienced and need a lot of help

1- I write most of the business, my team has a poor attitude, and our office culture is negative

N/A I do not have any team members

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* 7. What is your life production goal over the next six months?

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* 8. How many life apps has your agency written over the last six months?

0-10

11-20

21-30

31-40

40 or more

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* 9. How much life premium has your agency written over the last six months?

$0-$10,000

$10,001-$20,000

$20,001-$30,000

$30,001-$40,000

Over $40,000

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* 10. What percentage of the life production over the last six months were you personally responible for?

0-20%

21%-40%

41%-60%

61%-80%

81%-100%