Getting to Know You Survey
Welcome! I'm so glad you are interested in OWNING YOUR LIFE!

Please fill out this survey so that I can get to know you a bit better.

I will be in touch within 24 hours (or on the next business day) to set up a time for you and I to chat and go through the next step.

If you have any questions for me, please be sure you put them in this application (there's a spot at the bottom). Thank you! We'll chat soon!


Email address *
Your Name (First + Last) *
Your answer
Your Social Media links: (Facebook | Instagram | Twitter | etc.) *
Your answer
Do you hold to any particular faith? Please specify. *
Your answer
Have you done any Network Marketing businesses, in the past? If so, please list them here. *
Your answer
When did you leave your last company?
Your answer
Which describes YOU best? *
Tell me a little bit more about you! Are you married? Have kids? What are your hobbies? *
Your answer
What has the past month been like for you? *
Your answer
What are your goals or vision for the future? *
Your answer
What did you like BEST about what you read in the "45-Second Presentation That Will Change Your Life"? *
Your answer
Evaluate the following statements *
Strongly Disagree
Strongly Agree
I am self-motivated, would love to be my own boss, and work from home
I enjoy the comfort of being assigned clear cut tasks, rather than having to decide, myself, what I spend my time doing.
Check ALL that describe YOU! *
What is the best method AND time to contact you? (If text, please share your cell phone #). *
Your answer
Do you have any questions for me? If so, please share them below.
Your answer
I will be in touch within the next 24 hours (or on the next business day) to set up a time to chat!
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