settings
First Name
settings
Last Name
settings
Email
settings
Cell Phone Number
settings
What is the name of your business?
settings
Number of years in business
settings
Do you operate your business while working a full time job?
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What is your biggest frustration in your business right now?
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Select...
0-20,000
20,001-40,000
40,001-60,000
60,001-80,000
80,001-100,000
100,001 or more
What was your revenue for the past 12 months?
settings
What is your 2021 revenue goal?
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What's your vision for your life and your business?
settings
Select...
1 - Extremely Committed
2 - Very Committed
3 - Committed
4 - Somewhat committed
5 - Not very committed
How would you describe your level of commitment to your personal and professional goals?
settings
Why do you believe you are ready to join a mastermind?
settings
Select...
Yes
No
If accepted in the CEO Collective Mastermind, are you prepared to start now?
settings
Select...
Yes
No
Do you understand that there is an investment in the CEO Collective Mastermind if you’re accepted?
settings
SUBMIT
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