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Name
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Email
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Phone Number
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What are your top 3 biggest challenges?
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Do you currently own your own business?
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If so, please tell us more about your business…
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How long have you been in business?
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If you could change one thing in your life or your business today, what would it be?
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How motivated are you from 1-10 to solve this problem?
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How much would you be wiling to invest in yourself at this time?
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less than $500
$500-$1500
$1500-$3000
$3000-$5000
Whatever it takes
If we had the answer to your number one problem, what would that be?
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