First Name
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Last Name
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Phone
*
Email
*
Date of birth
*
Organization
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Address
Street Address
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City
State
Country
Country
Postal code
Website
*
Marital Status
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Married
Single
Other
How long you've been in business?
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Less than a year
1-3 years
3-5 years
More than 5 years
Other
Describe the main problem(s) that your business is solving for people?
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Describe your products/services and what you sell?
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Why did you start your business? What was your original vision/mission?
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What is your current monthly sales on average?
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What is your target monthly sales for the next 3 months? (quick and small win, more realistic)
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What are your business goals for the next 12 months (apart from sales)? List them.
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What do you believe is blocking you from achieving these goals right now?
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What has worked best when it comes to growing your business?
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What hasn't worked or worked poorly when it comes to growing your business?
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