Crowdfunding Survey ....

Tell Me About Yourself....

I want to help you quantumleap your business!
Full Name*
Email*
Phone #*
Company Name
Address*
City*
State/Province*
Zip/Postal Code*
Country*
# years in business*

First year1-3 yearsmore than 3 yearsmore than 10 yearsI have a job but want to start my freedom strategy
Check all that you need help with*

Brand - Colors Identity ConsistencyUnique Selling Proposition/MessagingTarget market identifiedLanding Page and List BuildingWebsite DevelopmentBook and Getting PublishedSpeaker Topic and PresentationMedia - TVSocial Media StrategyAttracting More LeadsNext Level for My BusinessConverting Leads to ClientsI don't know my next stepsProduct Development and Pricing StrategiesHow to Weave it all Together into a Coherent Online ImageCrowdfunding
Master Website Link*
Landing Page Link
For Social Media Links - provide clickable links so I can quickly access them
Facebook Link*
Twitter Link*
Linkedin Link*
Youtube Link*
Add any other social media you have
Long term - How would you like your help from me*

Direct 1:1You do it for meTraining modulesWebinarsLive Events - LA BasedMastermindGroup TrainingOther
If you said other - describe
What is the BIGGEST issue you have right now that is preventing you from moving forward*
What is your budget*

$5000-$10,000$10,000 - $25,000$25,000 - $100,000No budget - recommend an entry level product
Tell me anything else you want me to know
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Tell Me About Yourself....