Bankroll Your Brilliance Inner Circle Application
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First name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
City & State
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Your answer
Website (if you have one):
Your answer
If no website, please explain
Your answer
Why is NOW the time to get help (support)?
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Your answer
Have You Started Your Business?
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Yes
No
What Type of Business Do You Have or Wish To Start?
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Coaching / Consulting
Professional Licensed Expert (i.e Lawyer, Accountant, Physical Trainer etc...)
Other Expert Industry
Offline Business
If you selected "other" above, please describe the business industry you are in below
Your answer
What is the biggest obstacle holding you back from reaching your business goals?
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Your answer
How much revenue have you generated in the past 12 months in your business?
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Your answer
What amount have you invested in your business education in the past 2 years?
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$500 - $2,000
$2,000 - $5,000
$5.000 - $10,000
Other amount
Complete the following sentence (keep in mind the more truthful you are, the more we can support you). When working on my business/career, I am:
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An "Excuse Maker" who seeks out opportunities but then finds all the reasons I cannot take advantage of them.
A "Procrastinator" who decided YES but then doesn't pull the trigger until the opportunity has passed.
An "Action Taker" who sees the opportunity, grabs it by both hands and moves forward fast.
My ability to invest in my business is
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I have the financial resources to invest in my business right now
I have the ability to figure it out and generate the financial resources I need to invest in my business
I don't have the financial resources to invest in my business right now
On a scale from 1 - 10, 10 being the highest, how committed are you to getting the results you want in your business?
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Your answer
How much are you willing to invest to move your business forward now?
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$500 - $2,000
$2,500 - $5,000
$5,000 - $10,000
Is there anything else we should know about your business?
Your answer
How did you hear about Bankroll Your Brilliance Inner Circle?
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Your answer
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