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First Name
Email
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What country is your business based in?
Select Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belau
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
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India
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Iran
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Isle of Man
Israel
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Ivory Coast
Jamaica
Japan
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Jordan
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
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Mauritius
Mayotte
Mexico
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Mongolia
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Montserrat
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Mozambique
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Namibia
Nauru
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Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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North Korea
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Norway
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Panama
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Paraguay
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Poland
Portugal
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Qatar
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Romania
Russia
Rwanda
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Saint Barthélemy
Saint Helena
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Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
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Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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Does your business offer a service or a product?
Product
Service
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Which types of marketing do you currently use? Select more than one if applicable:
Facebook Ads
Google Ads
SEO
Television
Radio
Newspaper / Print
Other
None
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What is the biggest challenge in your business at this moment keeping you from reaching your growth goals? (Please give as much detail here as possible)
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Where do YOU see the greatest opportunity to scale your business in the next 3 months? (select all that apply)
Getting more traffic
Getting more leads
Increasing my conversion rate
Raising my prices
Selling more follow-on services to my existing clients
Converting a higher percentage of current leads into paying clients
Generating more/new high-qualified leads
All of the above
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If you have a sales team. What percentage of leads do theyconvert into sales?
<10%
10 - 20%
20 - 40%
40 - 60%
60 - 80%
> 80%
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How many leads do you want per month?
0-10
10-20
20-50
50-100
150+
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What is your current MONTHLY revenue?
0
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What Is Your Target MONTHLY revenue Goal?
5,000 - 20,000
20,000 - 50,000
50,000 - 100,000
100,000 - 250,000
250,000 - 500,000
500,000 +
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Which best describes you?
I have the financial resources to invest in my business right now
I have the ability to generate the financial resources to invest in my business
I don’t have the financial resources to invest in my business anytime soon
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How much is the average client worth to you over their lifetime?
Less than 500
1k
1-5k
5-10k
10-20k
20k+
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How much is your monthly marketing budget?
Under 3k
3k - 5k
5k - 10k
10k - 20k
20k - 35k
35k - 50k
50k +
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Briefly describe your business, what do you sell/what is your service - to who and at what price point?
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Why is right now a good time for you to get involved with online marketing and scale your business?
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Name a few of your competitors? (Website Addresses)
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On a scale of 1-10 how interested are you in working with us?
1
2
3
4
5
6
7
8
9
10
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