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Question 1 of 19
Full Name?
Question 2 of 19
EMAIL ADDRESS?
Question 3 of 19
CELL PHONE?
Question 4 of 19
COMPANY NAME?
Question 5 of 19
What is your occupation?
Realtor
Mortgage Originator
Real Estate Attorney/Escrow Officer
Financial Advisor
Estate Planning Attorney
P&C Insurance Agent
Accountant
Other
Question 6 of 19
What State/States do you work?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Question 7 of 19
What is your best estimate of your production? (This year & last year)
Question 8 of 19
Are you happy with the referral business you have received from your partners?
YES. I RECEIVE CONSISTENT REFERRALS
SOMEWHAT. I OCCASSIONALLY RECEIVE REFERRALS?
NO. I'M FRUSTRATED WITH THE AMOUNT OF REFERRALS I RECEIVE.
Question 9 of 19
IN THE PAST YEAR. How many referrals have you received from REAL ESTATE AGENTS that have closed?
10 OR MORE
7 TO 9
4 TO 6
1 TO 3
NONE
Question 10 of 19
IN THE PAST YEAR. How many referrals have you received from REAL ESTATE ATTORNEYS/TITLE REPS/ESCROW OFFICERS that have closed?
Question 11 of 19
IN THE PAST YEAR. How many referrals have you received from FINANCIAL ADVISORS that have closed?
Question 12 of 19
IN THE PAST YEAR. How many referrals have you received from ESTATE PLANNERS that have closed?
Question 13 of 19
Question 14 of 19
IN THE PAST YEAR. How many referrals have you received from ACCOUNTANTS that have closed?
Question 15 of 19
IN THE PAST YEAR. How many referrals have you received from PROPERTY & CASUALTY INSURANCE AGENTS that have closed?
Question 16 of 19
IF THERE'S AN OPEN SEAT FOR YOUR PROFESSION IN A CORE7 NETWORKING GROUP CHAPTER. WOULD YOU LIKE TO BE INTRODUCED TO THE CHAPTER OWNER?
YES
NO
Question 17 of 19
Have you graduated from the Core7 Certification Program?
Question 18 of 19
We offer two levels of group coaching are you interested?
YES. PLEASE SEND ME INFORMATION ASAP
NO THANK YOU.
Question 19 of 19
BEST WAY TO CONNECT WITH YOU?