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What is your full name?
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What is your email?
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What is your phone number?
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What’s your biggest current challenge?
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What do you sell?
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Team size?
Just Me
2–5
6–15
16–50
50+
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What results are you aiming to achieve in the next 6 months?
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Have you worked with advisors, consultants, or strategists before?
Yes
No
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If yes, briefly describe your past experience
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Are you ready to invest if it's a fit?
Yes – I'm ready
Maybe – I need to learn more
No – just exploring
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