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First Name
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Last Name
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Email
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Phone
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How would you rate your level of experience in the stock market?
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Absolute Beginner
Beginner
Intermediate
Advanced
How much capital were you planning on trading with?
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<$ 5,000
$5,000 - $20,000
$20,000 - $100,000
> $100,000
How much time were you planning to devote to this?
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Time is a big issue
Couple of hours a week
Enough to prepare me for retirement
In front of the computer all day
What are your stock market goals?
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Simple: $1,000 - $10,000
Conservative: $10,000 - $50,000
Moderate: $50,000 - $100,000
Aggressive: > $100,000
What part of our coaching program are you looking for to help you the most (choose as many as you want)?
Education
A Proven System
Stock Selection
Discipline
Accountability
I NEED IT ALL!
How would you evaluate yourself in terms of approaching endeavors?
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Self Starter
I Need A Push
Take Me By The Hand
How much of a priority is this for you and why?
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Low
Medium
High
Tops On The List
Why?
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