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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Are you securities licensed?

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* 5. What are your goals for your business 3 years from now? 

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* 6. How do your future goals compare with your present situation?

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* 7. What do you feel has been your great challenge to reach your goals? 

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* 8. What attempts have you already made to overcome those challenges?

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* 9. What will the impact be to your family, livelihood, lifestyle and business if you don't reach your goals?

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* 10. Do you have an assistant or staff?

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* 11. What is the amount of total assets gathered in the last 12 months? 

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* 12. Do you have  CRM/client portal? 

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* 13. Do you have a system to track your ROI for each marketing campaign?

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* 14. What types of prospecting do you current use? 

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* 15. Where do you feel someone could make the biggest impact for your business? 

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