Getting To Know You!
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| First and Last Name:
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| Email Address:
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Timezone
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| State/Province
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| Home Phone:
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| Fax Number (if available)
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| What is the best time to reach you by phone?
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| Tell Me About Yourself
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| Have you ever owned a home business before?
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| If yes, what did that business involve?
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| What type of work have you done in the past?
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| In starting a home-based business what would be important to you?
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| What about working from home appeals to you most?
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| What monthly income would you like to earn?
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| On a weekly basis, how much time would you be willing to devote?
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| At what financial level do you see yourself getting started?
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| When you meet your income goal which of the following will you do first?
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| What is your family status?
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| Do you have any comments you'd like to share with me?
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| How soon could you get started?
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