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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
What are your top 3 challenges you are having with your finances?
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4
How willing are you to do what it takes to overcome your challenges?
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Very Willing
Somewhat Willing
Not willing
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5
How soon do you want to do you want to start your financial transformation?
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1-7 Days
14-21 Days
30 Days
45 Days
60 Days
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6
What is your budget to conquer your challenges?
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$1000
$1000-$2000
$2000+
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7
What is your employment status?
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Hourly Employee
Salaried Professional
Entrepreneur/Self-Employed
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