MV Customer Survey Form Landing Page/Funnel

1

Which of the following best describes your current situation?* This field is required.

I need a new landing page.

I need to redesign my existing landing page.

I need a sales funnel.

I need to revamp my existing sales funnel.

2

Which type of landing page/funnel are you looking for?* This field is required.

Appointment

Video Sales Letter (VSL)

Webinar

Lead Gen (Lead Magnet)

Unsure. Need a consultation.

3

What's your Business Website?* This field is required.(If you don't have one please type "No")

4

What is your current income range? (USD/Month)* This field is required.

< $3000/month

$3000 - $6000/month

$6000 - $10,000/month

$10,000 - $20,000/month

> $20,000/month

5

How much of target income would you like to make a month? (USD/month)* This field is required.

6

What are the biggest obstacles you face preventing you from achieving your desired result? * This field is required.

7

If there were a proven system to help you achieve your desired results, would you be willing to invest at least $1K in building your funnel and/or marketing strategy?* This field is required.

Yes, I'm ready to invest.

Yes, I have a budget, but I would like more details before making a decision.

No, I don't have the budget at the moment.

8

How soon would you be ready to get started?* This field is required.

ASAP

Between 1-2 Weeks

1 Month

3 Months or more

9

Full Name* This field is required.

First Name

Last Name

10

Contact Number* This field is required.

Country Code

Area Code

Phone Number

11

Email Address* This field is required.

example@example.com

12

* This field is required.