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Network Marketing Questionnaire

Is This for Me?

This is a questionnaire to help you make the best decisions. There are no right or wrong answers – it is just a way to help you know yourself. Once you know exactly what you are looking for and why you are looking, it will be much easier for you to actually achieve it.

So go ahead and answer the questions. It won’t take long.

Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Age Group (eg 30-40):*
What is my number one priority in life?
Extra income
Financial Freedom
Owning my own business
More time
Retirement
Helping others
Personal Development
Meeting new people
Good health and vitality
I chose number _____ because_____:
To me it means that_____:
It is important to me because_____:
If I do not have it the consequences will be_____:
This worries me because_____:

Based on your answers, if you could be shown a way to achieve your goals, your desires, your dreams, are you ready to seriously look at how to do this now?

“It is not the strongest of the species that survive, nor the most intelligent, but the one most responsive to change.” – Charles Darwin