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1
Let's confirm your information
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First Name
Best Phone Number To Contact You
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2
Which of the following best describes you?
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I own an existing business
I am thinking of starting a business
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3
What industry are you in?
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Retail
Financial Services
Hospitality and Tourism
Technology and Software
Healthcare
Education
Manufacturing
Real Estate
Transportation and Logistics
Other
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4
What are the problem areas you’d like help with?
*
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Getting more leads
Ranking better on Search Engines (Google)
Paid Advertising
Creating A Website
Other
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5
When is the best time to contact you?
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If there is a specific time, choose "Other" and type in the details.
Morning (8AM - 12PM)
Afternoon (12PM - 4PM)
Evening (4PM - 7PM)
Other
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6
What's your current business website address?
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If you don't have one, please type "no site"
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7
How many W-4 employees do you have?
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I am working alone
1-5
6-10
10-15
16-20
20+
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8
What's your Annual Gross Revenue last year?
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Under $100k
$100k - $200k
$200k - $400k
$400k - $600k
$600k - $800k
$800k - $1 million
$1million - $2 million
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9
What's your Target Annual Revenue next year?
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$100k - $200k
$200k - $400k
$400k - $600k
$600k - $800k
$800k - $1 million
$1million - $2 million
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10
How willing and able are you to invest in the growth of your business right now?
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I have the financial resources to invest
I have access to the financial resources to invest
I do not have the financial resources to invest
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11
If we can help you reach your goal 100% guaranteed next year and we put together a game plan for you to win on the next call with an investment that makes sense, are you willing to move forward immediately?
*
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YES, I want to double my business by next year!
NO, I'm happy where I am and don't want to make more money in my business.
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12
How did you hear about us?
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Facebook
Referral
Website
Ads
Instagram
Tiktok
Pinterest
Other
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13
Last step is to hit submit!
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