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2005
June
E
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Hello:
You are invited to participate in our survey "Looking for Leaders". In this survey, approximately 100 people age 18 or older will be asked to complete a survey that are serious minded in starting a home based business. By filling out this survey you are agreeing to be contacted by a home based business representative for the sole purpose of starting up your own business. It is very important for us to learn about you in order to see if you are a strong candidate for our opportunity to help people improve their indoor air and water quality.
Your survey information will be stricly confidential and not sold to anyone. Your information will be coded and will remain confidential.
Thank you very much for your time. Please start with the survey now by clicking on the
Continue
button below.
Do you have any experience in owning /operating a home business?
-- Select --
Yes
No
*
How much time weekly are you willing to invest into a business to learn all aspects of it and make it successful?
5 - 10 hours
10 - 20 hours
20 + hours
As much as needed
Would you agree that in order to run a home business that it is extremely important to use and believe in the product(s) and if not, please briefly explain.
*
Do you have any of the following to help you start up your own business?
credit Card(s)
Debt Card(s)
Available cash
How much money would you like to make on a monthly basis?
-- Select --
$100 - $500.00
$500 - $1,000.00
$1,000 or more
*
How much money are you willing to invest to start up your home business if it could offer you that type of income?
-- Select --
$100 - $250.00
$250 - $500.00
$500 - $1,000.00
Whatever it takes
If you found the perfect home business opportunity when could you start?
Immediately
1 - 2 weeks
3 - 4 weeks
Not sure
*
Full Name
*
Birthdate (must be over 18)
*
Address
*
City
*
State
*
Zip
*
Telephone
*
Email Address
What is the best time to contact you?
-- Select --
Mornings
Afternoons
Evenings
What is your time zone?
-- Select --
EST
CST
MST
PST
ATZ
AKST
HIST
Other
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