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QUESTIONNAIRE
Fill out a separate form for each partner. The information collected on this form is confidential and solely for data purposes.
How did you hear about this site?
*
Internet Search
Advertisement
Friend
Other
Facebook
Instagram
Tiktok
LinkedIN
If Other please specify:
*
*
Indicates required field
Full Name
*
Email
*
Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Occupation
*
Education
*
High school diploma
GED
Some college
College graduate
What is your househod income?
*
Less than $25,000
$25,001 - $50,000
$50,001 - $75,000
Greater thn $75,000
Prefer not to say
Name of your business ?
*
How long have you been in business ?
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1
2
3
4
5+
Description of business. What products and services do you offer?
*
Do you have independent contractors?
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Yes
No
Do you have multiple partners in your business?
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1
2
3
4
5+
What are your brand colors ?
*
What's your brand slogan ?
*
Do you have a Vendors License
*
Yes
No
Do you have a EIN #
*
Yes
No
Do you have trademark ?
*
Yes
No
Do you have a resellers certificate?
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Yes
No
Do you have your risks codes?
*
Yes
No
Do you have a DUNS#
*
Yes
No
What is your business formation?
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SP Sole Proprietor
General Partnership
LLC
LLP
LP
S-Corp
C-Corp
Nonprofit 501 (c) (3)
Services
*
Business Start up ( LLC, C-CORP, NONPROFIT, & S-CORP )
Business & Entrepreneurial Coaching
Business Plan
Business Model Development
Business Credit
Website
Personal Credit
Crypto Investment Account
SBE,MBE, DBE,& WBE Certification
Website
Which package do you think would fit your needs?
*
2 hourly coaching sessions
3 hourly coaching sessions
4 hourly coaching sessions
7 hourly coaching sessions
5 hourly coaching sessions
Custom package
Do you agree to the terms and conditions
*
Yes
No
Would you like to op in to receive text messages?
*
Yes
No
Refer a friend
Yes, the rumors are true when you refer a friend and they make a purchase, you get $25 and they get $25 off their first order.
Would you like to refer a friend and receive $25 off your order when they sign up?
*
Yes
No
First & Last Name
*
Phone
*
Submit
HOME
Consultants
Questionnaire
Products
SERVICES
Winners Circle Club
Business Plan Coaching
BUSINESS PLAN ACADEMY
>
Business Plan Courses
Crypto + Business Online Courses
Virtual Office Services
Internship
UA-226872771-1