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First Name:
   
 
 
 
Last Name:
   
 
 
 
Email Address:
   
 
 
 
Who is your mentor (up-line)? Provide first and last name
 
 
 
 
Which days did you listen to the daily mentor calls this week (Select all that apply)?
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday

 
 
 
Which days did you make your 2 new contacts (Select all that apply)?
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday

 
 
 
Which days did you contact your frontline (Select all that apply)?
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday

 
 
 
Did you do 2 presentations this week?
 
YES
 
NO
 
 
 
Did you listen to the weekly webinar this week?
 
YES
 
NO