New Member Questionnaire

Welcome, Please Fill Out The New Member Questionnaire!

Answer honestly and truthfully. There is no right or wrong answer to any of these questions. This exercise is to help you get more focused on your goals. I will review your answers and help you create an actionable plan to reach your goals.

Exit Survey

First & Last Name

Your Empower Username

What Are You Looking To Achieve With Empower Network?

What Time Frame Do You Want To Achieve These Goals? (i.e. 90 days, 3 months, etc.)

What Resources Are You Willing To Use In Order To Make These Goals A Reality?

What Will Achieving These Goals Do For You?

How Many Hours Per Week Are You Going To Work Your Business, And What Is Your Desired Income Goal In The Next 90 Days?

Are You Willing To 100% Commit To Hitting Your Goals In The Next 90 Days?

Write Your Name And Set Your Intentions NOW!

I (Name) Will Achieve (Your Goal) By (Whatever Time You Set) ... That's It. PERIOD!