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What is your income goal for the next 12 months?
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$
Are you on track to reach your income goal?
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YES/NO
YES
NO
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Why or Why not?
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What was your GROSS COMMISSION INCOME in the last 12 months?
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Less than $50,000
$50,000 - $300,000
$300,000 - $500,000
$500,000 - $1 Million
Over $1 Million
What is your greatest area of frustration or area you want to change in your business and why?
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On a scale of 1 to 10, how coachable are you?
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What percentage of your potential would you say you have been living up to in the last year?
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Select your answer (1 is low, 10 is high)
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10
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Are you ok with that answer?
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YES/NO
YES
NO
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ON a scale of 1 to 10, how committed are you to massive success in your business and in your life?
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Are you willing to commit to core daily activities and weekly assignments that will increase your business and improve your life?
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YES/NO
YES
NO
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Are you willing to be held accountable on a daily basis and make NO EXCUSES?
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YES/NO
YES
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Are you willing to participate in live weekly coaching calls with Kevin?
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YES/NO
YES
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One year from now, what would you have to have happened for you to feel successful?
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Why is it an ABSOLUTE MUST for you to massively grow your business and income NOW?
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Assuming YOU ARE QUALIFIED, are you prepared to invest $30,000* in yourself and in coaching to add at least $150,000 to your income in the next 12 months?
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YES/NO
YES
NO
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Full Name
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Email
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Phone
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