Jackie Perez + Co. Intake Form
Email address *
First Name: *
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Last Name: *
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Where can I stalk you? (what's your business name/ website address)
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Phone Number (In case we cannot connect over Zoom.): *
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Email: *
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What Timezone are you located in? *
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Tell me a bit about you!
What is your Sun Sign?
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What is the one thing you LOVE about your business? *
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How did you hear about us? *
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Let's Jam on Business!
What type of business do you own? What do your current offerings looks like? *
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How many years have you been in business? *
Your answer
What is the #1 challenge for you in business right now? *
Your answer
What was your annual income last year? (Or your average monthly for the past 3 months.) *
Your answer
What is your annual goal for next year? (I ask because our support within your business is an investment and we want to be sure we're in alignment) *
Your answer
What type of support are you looking for?(Check all that apply!) *
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When is your ideal start date? *
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Is there anything else you'd like to share with us? *
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