Welcome





First Name Last Name
Address
City State Zip
Phone Email

Current Situation

What do you currently do for a Living?
How satisfied are you? (Scale of 1-10)
What monthly income are you accustomed to?
Have you ever owned your own business?

Goals

What is your ideal monthly income?
How much time can you devote per week to achieving this?
How quickly would you like to achieve this goal?


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: