CAM Questionnaire
Fill Out The Information Below To Qualify For Working 1-On-1 With Me Inside The CAPTURE Affiliate Mastery Program
Name
*
First Name
Last Name
Email
*
example@example.com
What is your age? *
*
Below 18
18-24
25-34
35-44
45-54
55+
Where are you from?
*
Country name is enough
Did you purchased any of the CAPTURE upgrades?
*
Yes
No
What's your current occupation?
*
Student
Employee
Self-employed/Business owner
Currently not working
What is your yearly income in (USD)?
*
What is your monthly income goal you would need to reach to achieve "Financial Freedom"?
*
$1,000 To $5,000
$5,000 To $10,000
$10,000 To $20,000
$20,000+
What is the biggest obstacle that keeps you from achieving your dream goal?
*
Describe your current experience with online business (how much money have you made, how many things have you tried, programs or coaching courses you bought etc.)
*
On a scale of 1 to 10, If I were able to show you how to hit your income goal in the next 3 to 6 months how committed would you be to the process?
*
What if someone would ask you to invest $5,000 to help you achieve your goals?
*
I would understand that anybody who takes his success seriously has to make investments to progress.
I would be hesitant at first, but eventually i would see the value of these strategies because that's what everybody who is seriously would do.
I would never invest in something like this and would rather save the money
Your current situation:
*
I have the finance, time and energy to invest in myself and my future
When push comes to shove I can come up with ways to get the financial means and time to invest
I do NOT have the time or the money to invest in myself and my life and i'm not planning to ever change that.
Once you start to see success with the program, do you agree to leave a testimonial based of the results you achieved?
*
Yes
No
Submit
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