Personal Information

First Name:
Last Name:
Age:
Gender:
Address:
City:
Country:
Phone:
Mobile:
E-mail:

Interview

1. If you had the opportunity to change something in your life, what would it be? (You are able to choose more than just 1 answer)
Start my own business.
Set my own income level.
Work my own schedule.
Change careers.
Go back to school.
Spend more time with my family.
Have a better lifestyle.
Work less hours.
Have more holidays.
Travel the world.
Nothing.

2. What would you do with an extra USD1, 500 every month?
Pay off my credit cards. Save it for retirement or my children's education. Take a vacation that long overdue. Invest it. Buy more lottery tickets.

3. Which best describes your current job or business?
Completely satisfied. Paycheck to paycheck. Highly paid and burned out. Always fighting to stay on top. Scared of being downsized. No challenge. Successful, but dissatisfied Ą@

4. Which best describes your plans for the next 5-10years?
Know exactly where I am going and how to get there? Know exactly where I am going but have no fixed plan? Don't know where I would prefer to be but have some ideas? Have no idea where I will be but would like a plan? Don't want to plan that far ahead. Happy to take one day at a time.

5. If we commit to helping you get started, how much time are you willing to invest per week into building you new business?
up to 5 hours 5-10 hours 10-20 hours 10-30 hours full time

6. All businesses need some start up capital, how much are you prepared to invest into getting your new business started?
In USD 100-300 300-500 500-1,000 1,000-2,000 2,000-4,000

7. If this happens to be the business opportunity you've been seeking, would you be able to get started right away?
YES. No. Why?