Complimentary Consultation Form - BPD Associates Limited

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First Name*
Last Name*
Email*
Phone*
Number of Years in Business*
How much time is devoted to your business?*
- Part Time
- Full Time
- Not Yet Started
Number of Employees/People (including you) in Your Team (both part-time and full-time)*
- Only me
- 1-3
- 4-5
- 6-10
- 11 +
Business Revenue Made in the Last Year*
- US $30,000 or less
- US $30,001 - $50,000
- US $50,001 - $75,000
- US $75,000 - $100,000
- US $100,001 +
Revenue Goal for the Next 12 Months*
- US $30,000 or less
- US $30,001 - $50,000
- US $50,001 - $75,000
- US $75,000 - $100,000
- Greater than US $100,000 +
What and when was the last training programme you participated in?*

Why do you want to start your business?*
Why did you start your business?*
What is your greatest challenge?*
What is your greatest strength?*
Describe your business.*
Describe your business idea and vision.*
How do you currently market your business?*
What is the number 1 thing you want to focus on during your business consultation session?*
Anything else you want to share?
Name
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