Do You Qualify?

 

1.  Are you happy working the hours you currently work? 

 

Yes No

 
2.  Would you like to reduce the hours you work at your current job?
Yes No
 
3.  Are you looking for other ways of making money? 
Yes No
 
4.  Do you like waking up on Monday mornings to go to work?
Yes No
 
5.  How many hours does it take from the time you get out of bed and go to work until the time you get home from work each day?

 

 
 
6.  Does this bother you? Yes No
 
7.  Do you have other things you'd rather be doing besides working? Yes No
 

If so, What?

 

 
8.  Do you look forward to your Annual Leave from work?

 

Yes No
9.  Do you look forward to starting work again after Annual Leave?

 

Yes No
10. Do you get excited about having a Public Holiday or long weekend? 

 

Yes No
11. Do you enjoy traveling?

 

Yes No
12. Would you like to enjoy free First Class Travel and holidays?

 

Yes No
13. Are you happy with the amount of money you are currently earning? 

 

Yes No
14. How much extra money would you like to earn every month?

 

15. Is this important to you?

 

Yes No
16. Are you willing to put aside some time to earn this?

 

Yes No
17. How many nights/days per week are you usually free?

 

   days / nights
18. Are other people financially dependant on you? 

 

Yes No
19. Do you feel that preparation & planning are important?

 

Yes No
20. Do you have any business experience?

 

Yes No
21. Would you be willing to attend a midweek FREE information night to learn about this program and meet our team members?

 

Yes No
22.  Did you watch the 10 minute video on our home page? Yes No
 

What do you think the hidden message was about?

 

 
23. How motivated are you to achieve these goals? 1 = not motivated or low motivation, 10 means you are highly motivated.

 

Please provide the following information so that we can contact you:

First Name
Last Name
Title
Occupation
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work / Cell Phone
Home Phone
FAX
Valid E-mail Address to verify your details
How did you discover this web site?

 

 
     
   
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