Home Business Questionnaire


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Salutation (Mr., Mrs., Ms., Dr.)
First Name
Last Name
Company
Email
Country
Address
City
St./Prov.
Postal Code
Phone
Birthday (yyyy-mm-dd or mm/dd/yyyy)
Gender
What type of Marketing Interests You?
How Many Hrs can you commit to?
How Much Can You Invest in Your Biz?
Are You Willing to Work Long Term?
Do You Like Affiliate Products?
Do You want to run your own Websites?
Are You New to Internet Marketing?
Have You had Failure or Success before?
Do You Know Basic Code: HTML etc. ?