First Name
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Last Name
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Email
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Phone Number
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What do you do at your company? Please describe your products and services....
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What are the top 3 challenges you're looking to overcome in the next 3 - 6 months? What have you tried so far (that didn't work)? Where do you feel you need to improve? (please explain in as many details as possible)
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In 12 months, where would you like to be in your business and data career?
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What is the biggest reason you want to work with me?
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What is your monthly income?
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$
How much of that income do you get to keep as monthly profit?
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$
Are you ready to invest of your time and money in order to take your data career to the next level?
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Yes
No
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