BASIC INFORMATION

Please note:  Most questions are required to be completed before you can move onto the next section. Please fill this questionnaire out completely. If the question does not apply to you, please type "N/A" (not applicable). Read carefully and answer honestly. All information is confidential and used to make coach assignments and by your coach to help maximize your experience and gain the most from this program.

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* Your name: 

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* Email Address:
IMPORTANT: please use the same email address we have been sending correspondence to

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* State/Province:

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* Country:

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* Mobile Phone Number:
(so your coach can call or text you)

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* Why did you join the Integrated Wealth Systems community?

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* If you could achieve one specific outcome during your program time, what would it be?

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* Do you have a current website for your business or Cash Machine?  If so, what is it?

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* If You Have A Partner, What Is Their Name?
(Please note: each partner needs to complete their own individual Client Profile if they are going to be involved in coaching sessions.)

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* What is the last grade you completed in school? Where? Do you have a degree – If so, in what?

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