1 on 1 Coaching Call Registration Form

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* 1. What is your name?

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* 2. What is the best email to reach you?

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* 3. What is your Skype ID? (You must have Skype access to participate in the Suitability call)

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* 4. What is your phone number? (Include Int'l dialing code)

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* 5. In what country do you currently reside?

United States

Other (please specify)

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* 6. How did you hear about this survey?

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* 7. How would your rate your Internet Marketing experience?

Beginner

Intermediate

Expert

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* 8. What is the current monthly profit from your business?

$0 - I'm not making any profits yet!

$500 - $1,000 per month

$1,000 - $5,000 per month

$5,000 - $10,000 per month

$10,000 - $25,000 per month

$25,000 - $50,000 per month

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* 9. Have you created any of your own online Products yet?

I have none of my own products online yet

I'm working on my first product

I have at least one unique product created

I have several products online

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* 10. What's the number one reason why you're now looking for a coach/mentor?

To help me create more products and improve my personal brand

To Help me gain more affiliates

To help me make more sales

To get help with some technical aspects that are holding me back

To help me build a long term, stable, online business

All of the above in various degrees

Other (please specify)

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* 11. How many hours per week can you invest in building a successful online business right now?

1-10 hours per week

11-20 hours per week

21-30 hours per week

31-40 hours per week

40+ hours per week

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* 12. Are you currently enrolled in any online Coaching programs? If so, which one(s)?

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* 13. Since there is a very limited space available, why would you be a great candidate to join one of Omar's programs?

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* 14. How WILLING and ABLE are you to invest in your growing business? (resources, current commitments, finances, etc.)

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* 15. How much involvement do you want in product creation?

I want you to create the product and all the websites

I have a product and a website, but I am interested in 1 on 1 Coaching

I have a product idea, I want to create it all myself, but I have no idea where to start

Other (please specify)

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* 16. What resources do you already have available? (domains, hosting, auto-responders, etc.)

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* 17. How much can you comfortably afford to invest in building a successful online business right now?

$100+ per month

$200+ Per Month

$500+ per month

$1000+ per month