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Client Qualification
We want to know more about your business & see if we are the right fit.
14
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
What industry do you operate in?
*
This field is required.
Select One
Business Services
Entertainment & Events
Financial Services
Health & Fitness
Beauty
Home Services
Restaurant/Food
Retail/Consumer Goods
Consulting
Other
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5
How long have you been in business?
*
This field is required.
Select One
less than 1 year
1-3 years
3-5 years
5+ Years
less than 1 year
1-3 years
3-5 years
5+ Years
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6
Where are you in your business?
*
This field is required.
Recently started and trying to get things moving
I have a few clients but it's not steady yet
I have several clients and sometimes more than I can handle
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7
Are you a full time/part time entrepreneur?
*
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Full-time
Part-time
Full-time
Part-time
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8
Do you have employees?
*
This field is required.
YES
NO
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9
Which service are you in need of ?
*
This field is required.
Branding & Design
Marketing & Sales
Web Development & Funnels
Facebook Group Development
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10
Do you have plans to Rebrand or Revamp your business?
*
This field is required.
YES
NO
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11
Is branding something you will need professional assistance with in the next 1-3 months.
*
This field is required.
YES
NO
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12
If we are the right company for you, would you be able to make an investment between $1,000 to $6,000??
*
This field is required.
YES
NO
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13
If you are an amazing fit for our company, we will tell you about the opportunity to work with us when we chat. What level are you looking to invest in to become the go-to guru in your industry?
*
This field is required.
I'm not ready to invest, I just want the free stuff
$1,500 - $3,000
$3,001 - $5,000
$5000 - $8000
$8000+
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14
Is there any other information you think we should know about your company?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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15
Who referred you to us? (If nobody referred you, select "n/a.")
*
This field is required.
Please Select
Jasjuan Smith
Shantera Martin
N/A
Please Select
Please Select
Jasjuan Smith
Shantera Martin
N/A
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16
Who referred you to us? (If nobody referred you, please type "n/a.")
*
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