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* 1. What is your name?

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* 2. How did you hear about Jenny?

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* 3. Tell us a little bit about your business.

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* 4. Where are you located?

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* 5. What is your email address?

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* 6. Why are you passionate about your business?

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* 7. What are the most immediate challenges you're having with your business?

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* 8. On a scale of 1 to 5, how important is it for you to reach your capital raising goal within the next 6-12 months?

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* 9. Which of the following best describes the stage of your business?

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* 10. Is there anything else you would like us to know?

Thank you for completing the questionnaire!   Please watch for an email with instructions for scheduling a strategy session.
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