Questionnaire

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Please enter your first name:

Please enter your last name:

Please enter your street address:

Please enter the name of the city where you live:

Please enter your state/province:

Please enter your zip or country code:

Please enter your phone/fax:

Please enter your email address:

Please enter your website address (if applicable):

Please Help Us Create More Resources You Need To Quickly, Easily Succeed Online. The information you supply here will allow us to develop additional tools you can use to achieve your goals faster... all information is strictly confidential and does not require that you enter your name or identity. Please answer these questions accurately and completely in confidence.
1. Are you currently looking for an internet-based business opportunity or do you have an idea for one that you would like to start?
YES:	NO:
Explain:
2. Are you already involved with a business opportunity that you would like to promote more effectively on the Internet?
YES:	NO:
Explain:
3. Please indicate your current household income:

4. Please indicate your sources of income including your occupation, any business opportunities, and general investments. Be as detailed or as vague as you like.
Explain:
5. How much time can you invest each day...
...to your current job:	...to earning extra income:
6. What kind of start up budget have you set aside for starting a business?

7. If you found the right business opportunity that fits your criteria, would start immediately?
YES	NO

The World Deal Center Dot Com
#255 205 - 329 North Rd,
Coquitlam, BC V3K 6Z8