Looking forward to connecting with you!
What's your full name?
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First Name
Last Name
What's the best number to reach you at?
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Please enter a valid phone number.
Format: (000) 000-0000.
And your email?
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example@example.com
What state do you reside in?
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Arizona, California, etc.
Age Range
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18-25
25-35
35-45
45-55
55+
What's your biggest money concern? (Check all that apply)
Life Insurance
Debt Management
Retirement Planning
Estate Planning (Will / Trust)
Building Wealth
Other
Which best describes you right now?
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Please Select
Full-time employee
Part-time employee
Self-employed
Business owner
Stay-at-home parent
Student
Military/Veteran
Between opportunities
Retired
Which best describes you right now?
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Full-time employee
Part-time employee
Self-employed
Business owner
Stay-at-home parent
Student
Military/Veteran
Between opportunities
Retired
What is your primary reason for exploring an additional income opportunity?
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Please Select
Pay off debt
Build an emergency fund
Create an additional income stream
Replace my current income
Gain more schedule flexibility
Spend more time with my family
Start my own business
Personal growth and development
Help families while earning an income
Other: ________
How did you hear about us?
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Facebook
Instagram
TikTok
Refferal
Other
Which best describes you right now?
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Please Select
I’m looking for a side income
I want to build a business long-term
I’m just curious for now
How much time per week can you realistically commit?
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2–5 hours
5–10 hours
10+ hours
Not sure yet
How much time per week can you realistically commit?
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Please Select
2–5 hours
5–10 hours
10+ hours
Not sure yet
Which values matter most to you? (Select up to 2)
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Faith
Family
Freedom
Leadership
Financial Security
Which values matter most to you? (Select up to 3)
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Faith
Family
Freedom
Leadership
Financial Security
Can you pass a Background Check?
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Yes
No
Valid Social Security or DACA?
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Yes
No
Resume is optional
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How did you get in contact with us? Ex. Referral, Flyer, Etc.
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Get to know us, would you be open for a 20minute Discovery Zoom call this week?
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Please Select
Yes
No
Appointment
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