Work With Dr. Jim Storhok

Please fill out the following short survey. I want to make sure we will be a good fit to work together, so be thoughtful in your answers. I will be contacting you shortly after review to discuss. I'm looking forward to meeting you!

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* 1. Please state your name.

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* 2. What is the best phone number to reach you?

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* 3. What is your email?

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* 4. Facebook URL (if applicable)

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* 5. Describe to me what you are trying to accomplish? Why do you want to work
with Dr. Jim?

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* 6. What area of your business that you need to work on to achieve your goal?

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* 7. What is your 90 day goal? Where do you want to be in 12-18 months?

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* 8. Providing we are a good fit to work together, do you readily have $500-$1,000 to get started in business?

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* 9. If you are already with a networking company, are you looking for an opportunity switch, or coaching to improve your results with your current company?

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* 10. How many hours per week are you willing to invest into your business?

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