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* 1. What is your name?

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* 2. What is the name of your business?

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* 3. What is your email address?

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* 4. Phone number

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* 5. Which best describes your industry?

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* 6. How long has your business been operating?

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* 7. How many people currently work in your business including yourself?

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* 8. What is your role in the business?

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* 9. When a potential customer chooses a competitor over you, what do you think is usually the reason?

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* 10. Which of these does your business need the most help with right now?

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