Wufoo
Andrew & Marie: How Can We Help?
Please answer these questions clearly. We want to know how we can best serve you.
Name
First
Last
Email
Phone Number
###
-
###
-
####
if you are not in the US/Canada, please include your phone/skype in the next box
What are the unique circumstances in your life right now that are causing you to want create massive change:
Specifically, What Internet or Home Business experience do you have? I am looking for particular companies and your specific results
Have you done any kind of marketing online? If so, please explain what methods you have tried and the results you have achieved.
Assuming you found the perfect business, how much startup capital do you have to start and market your business right now?
Less than $100
$101-$499
$500-$1000
$1000+
Whatever it takes
Rate yourself honestly
Low
Medium
High
Ability to be coached
1
2
3
Your belief in your own ability to succeed
1
2
3
Your ambition
1
2
3
Your ability to sell
1
2
3
Your desire to win
1
2
3
Are you willing to trust me and do what I know will get you results, even if it feels uncomfortable at times?
Yes
No
Have you ever had a business coach before?
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