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document.write(" 1) What Time Zone are you in?
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2) What's your approximate age?
18 - 25
26 - 33
34 - 40
41 - 50
51 - 60
61 - 70
71 or older
3) Please check the statement that best describes your employment.
I work for a company I do not own.
I work two or more jobs for companies I do not own.
I work for a company I do not own, and I have a part-time business.
I am a small business owner and/or self-employed.
I am a college student with no job.
I am a college student with a full or part-time job.
I am unemployed
I am retired
4) In your most profitable year, how much did you earn, take home or put in the bank?
$50,000 or less
$51,000 - $65,000
$66,000 - $75,000
$76,000 - $100,000
$101,000 - $150,000
$155,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$500,000 or more.
5) How much did you earn (take home or put in the bank) last year?
$50,000 or less
$51,000 - $65,000
$66,000 - $75,000
$76,000 - $100,000
$101,000 - $150,000
$155,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$500,000 or more.
6) How many hours a week would you say you spend focused on your work/business and/or on increasing your overall earnings?
30 hours or less
30 -40 hours
40 - 45 hours
45 - 50 hours
55 - 60 hours
60 hours or more
7) Do you own your own domain name (example: www.yourname.com)?
Yes
No
8) Do you own a web site?
Yes
No
9) Do you have any type of auto-responder (automated email process) set-up?
Yes
No
10) Where do you spend the majority of your marketing efforts?
Offline
Online
Online & Offline [equally]
Online & Offline [60/40]
Online & Offline [40/60]
N/A [don't do any marketing]
11) Do you currently have any type of offline (snail mail) DRIP or nurture marketing campaign underway?
Yes
No
12) Do you publish an effective eZine (online newsletter), at least on a monthly base?
Yes
No
13) How many people receive your newsletter each time it goes out?
14) What is your primary business today? What do you do for a living? (please be very short, and specific)
15) What is your specific area of expertise? (This does not necessarily have to be the business you are in today)
16) How motivated are you to succeed in your business?
It’s a hobby
I want to go slow, I have a 10 – 15 year plan.
I am willing to do whatever it takes.
17) What does financial security look like to you? If you won the lottery, how much would you need to win to live life on your terms?
$200,000 - $300,000
$300,000 - $400,000
$400,000 - $500,000
$500,000 - $700,000
$700,000 - $900,000
$1,000,000 or more
18) What has kept you from obtaining the financial security you desire?
Lack of knowledge
Lack of money
Lack of time
Lack of focus
Lack of determination
Other, please be specific:
19) This is a very serious question, so please take a little time and think about it. If you were doing *exactly* what you wanted to be doing to make to the living you desire, what would you be doing? Please be specific, and give it some serious thought.
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