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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
Area Code
Phone Number
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4
Type Of Business:
eCommerce
Service Based
Dropshipping
Independent Distributor
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5
What Do You Offer
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6
Current Revenue (Monthly)
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$0 - 5,000
$5,001 - 10,000
$10,001 - $20,000
$20,001 - $50,000
$50,001 +
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7
Do you have _____ in your business? (Check all that apply)
Lead Magnet / Freebie
Products (digital or physical)
Email Marketing platform
Blog / Articles
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8
What does success look like to you?
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9
What is your biggest current struggle in your business?
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