Log In

HELP US HELP YOU

Talk One-on-One with Bernie

This questionnaire is for our BEST OPTION Memberships.

PLEASE FILL IN THE QUESTIONNAIRE SO WE CAN DO OUR HOMEWORK BEFORE WE CALL YOU.







    Your Name:

    Phone Number:

    Business Name:

    State:

    Industry:

    Email:

    Website?:
    YesNo

    If yes, website address:

    Years in Business:
    Less than 1 year2-3 years4-6 years7 or more years

    Number of Employees:
    1-45-1011-1516-20Over 21

    Annual Revenue:
    Less than $100,000$100,000 to $300,000$301,000 to $750,000$751,000 to $1.2 Million$1.3 Million to $2.5 MillionOver $2.5 MillionPrefer not to say

    Best Time to Call:
    (We make calls based on EST TIME ZONE)

    Your Time Zone:
    Please select...

    8:00AM to 10:00AM10:00AM to 11:59AM
    Noon to 2:30PM2:31PM to 5:30PM
    5:30PM to 7:00PM7:00PM to 9:00PMAfter 9:00PM

    Most important concerns regarding your business:

    1:

    2:

    3:

    If you are thinking about starting a new business, what type of business are you planning on?


    Ready for More Monthly Profits?

    Get full access to new and past newsletters.