Name

Email Address

Best contact number to call

Please describe your business/job and life as it is right now.

Do you currently own your own business? If so, what kind? *

What are your top 3 motivators for starting your own business and/or creating an additional income stream?

Where do you want to be 5 years from now?

What are your top 3 personal characteristics that you feel will contribute to your entrepreneurial success?

What are you top 3 circles of influence? (i.e. yoga students, entrepreneurs, mothers, athletes, blog readers, friends, family). Often your circle of influence will come from your interests, passions, any area you might be an "expert" in, or simply friends

What obstacles, if any, do you feel you would come up against in starting your own business.

What funds can you commit to investing in your business? What funds can you commit to investing in your business?$0$1 - $250$250 - $500$500 - $1000$1000 - $1500$1500 - $2000$2500+

Are you currently involved in a network marketing or direct selling company? If so, which one?

Referred by Referred byChantelle LasplaceLilette MarksMarie-Louise RamsayRye DrummondSonia Donegan