What is your first name?

What is your last name?

What is your main email? *

What is your phone number? *

Where do you currently live?

What do you currently do for work? Please share whether you work full time, part time, or more than 40 hours per week).

How much would you need to make to *replace* your current monthly income (USD)?

What is the #1 challenge you're looking for help with right now?

If you were able to solve this problem and build a profitable online business, how willing and able would you be to invest in your skills? (If you select "maybe" or "no", not a problem, we have other options to suit your needs) *

Yes, I have the funds and am ready to invest in myself.

Maybe, I have less than $1,000 to invest in myself.

No, I don't have the funds to invest in myself currently (that's okay, we have a free option for you).

Do you agree to show up to the call on your computer (not phone), on time, and without distractions? *

Yes, I agree to show up on time without distractions.

No, I cannot and will leave this page now.

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