Boss Up Society Questionnaire
Thank you for taking the time to answer these questions. Your responses will be recorded and someone will contact you shortly.
Full Name
*
First Name
Last Name
Gender
Male
Female
Do you follow a specific eating style or diet?
Yes
No
If so, please list below
City & State
Instagram or Facebook Handle
Phone Number
Email
example@example.com
Do you drink coffee?
How would you rate your energy levels when you wake up in the mornings?
Very poor
Poor
Average
Good
Very good
How would you rate your energy levels throughout the day?
Very poor
Poor
Average
Good
Very good
Anything else you want to share with me?
Please rate your readiness for change
1
2
3
4
5
6
7
8
9
10
What interests you most about joining boss "Boss up Society"?
Extra Income
Work from home
Beauty & Wellness Products
Personal Growth
Community + Mentorship
How much income would you like to earn monthly from this opportunity?
$200-$500
$500-$1,000
$1,000-$2,500
$2,500
I'm not sure yet open to learning
Do you have any experience in online business or network marketing?
Yes
No
A little
Are you ready to get started within the next 7 days?
Yes, Im ready now!
I want to chat and learn more first
Maybe later
Submit
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