Business Partner Intake Form

Gather a prospect's motivations, strengths, and availability before sharing details about a business partnership opportunity.

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Name*

First Name

Last Name

Phone Number*

Email*

Why are you looking into starting a business?*

What quality do you feel is your strongest asset for building a business?

How do you feel you can contribute to a team of people helping you and others build a business?

1. Are you looking to start a business you can work full-time or part-time?*

Full-Time Part-Time

2. If you became a business owner on a part-time basis, approximately how much would you need to earn per month to make it worth your time?*

Under $500 $500 - $1,000 $1,000 - $2,500 $2,500 - $5,000 Over $5,000

3. Approximately how many hours per week could you commit to developing that income?*

1 - 5 hours 6 - 10 hours 11 - 20 hours 21 - 30 hours More Than 30 Hours

4. For how many months would you work those hours to reach that level of income?*

1 - 3 Months 4 - 6 Months 7 - 12 Months More Than 12 Months

5. If we could show you how to develop the income you selected, working the hours per week you're committed to, over the months you chose, would you like to receive the information?*

Yes, send me the information

How would you like to be contacted?*

Please Schedule Your Appointment Time*

Date

Time

Additional Comments

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