Full Name
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Phone
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Email
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Where Are You Now?
1. If you learned a realistic way to create additional income online, how ready would you be to take action?
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I’m just exploring
I’m interested but unsure where to start
I’m ready to learn
I’m ready to take action
I’m ready to start immediately
2. What would creating additional income help you accomplish most right now?
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Build savings
Pay down debt
Better support my household
Have more financial freedom
Start or grow a business
Prepare for an emergency
Other
3 .How confident are you right now in your ability to manage the money you earn through budgeting, saving, and making informed financial decisions?
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Not confident yet
Slightly confident
Somewhat confident
Confident
Very confident
4. What has been the biggest thing stopping you from creating additional income or improving your finances?
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I don’t know where to start
Lack of financial knowledge
Fear of making the wrong decision
Lack of money/resources
Lack of time
I need accountability and guidance
Other
5. By the end of these 3 days, what is ONE thing you want to feel confident enough to actually do?
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