Qualifying Questions Form

1
Let's confirm your information* This field is required.By submitting this form and signing up for texts, you consent to receive marketing text messages (e.g. promos, cart reminders) from Twilio autodialer. Consent is not a condition of purchase. Msg & data rates may apply. Msg. frequency varies. Unsubscribe at any time by replying STOP.
First Name
Best Phone Number To Contact You
2
Which of the following best describes you?* This field is required.
I own an existing business
I am thinking of starting a business
3
What industry are you in?* This field is required.
Retail
Financial Services
Hospitality and Tourism
Technology and Software
Healthcare
Education
Manufacturing
Real Estate
Transportation and Logistics
Other
4
What are the problem areas you’d like help with?* This field is required.
Getting more leads
Ranking better on Search Engines (Google)
Paid Advertising
Creating A Website
Other
5
When is the best time to contact you?* This field is required.If there is a specific time, choose "Other" and type in the details.
Morning (8AM - 12PM)
Afternoon (12PM - 4PM)
Evening (4PM - 7PM)
Other
6
What's your current business website address?* This field is required.If you don't have one, please type "no site"
7
How many W-4 employees do you have?* This field is required.
I am working alone
1-5
6-10
10-15
16-20
20+
8
What's your Annual Gross Revenue last year?* This field is required.
Under $100k
$100k - $200k
$200k - $400k
$400k - $600k
$600k - $800k
$800k - $1 million
$1million - $2 million
9
What's your Target Annual Revenue next year?* This field is required.
$100k - $200k
$200k - $400k
$400k - $600k
$600k - $800k
$800k - $1 million
$1million - $2 million
10
How willing and able are you to invest in the growth of your business right now?* This field is required.
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
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?* This field is required.
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.
12
How did you hear about us?* This field is required.
Facebook
Referral
Website
Ads
Instagram
Tiktok
Pinterest
Other
13

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