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Questions marked with an * are required Exit Survey
 
 
* Full Name( First & Last)
   
 
 
* Valid Email Address
   
 
 
* What is your date of birth?
 
 
* Current Employment
   
 
 
Past Employment
   
 
 
 
What are you looking to gain by working with Eric?
   
 
 
 
What are some of your best accomplishments, and failures in life?
   
 
 
 
* What is your current financial situation? What are your current monthly income goals?
   
 
 
 
* What are you willing to sacrifice to achieve the level of success you truly desire?
   
 
 
 
How much are you willing to invest into your education and success?
 
$0-100(I'm Dead broke I have nothing)
 
Less than $500
 
$500-$1000(most popular)
 
$1000-$5000(elite fast track to success)
 
If you qualify with the answers you supplied my assistant or myself will be in contact as soon as possible. Thank you, Eric Greene
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