Women Breadwinner Industry Report

Feedback Form

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Fill Out The Feedback Form Below:

Name *

First

Last

Email *

What is the URL to your Facebook profile? *

How do you describe your business? *

Personal Coach / Healer
Business Coach / Consultant
Marketing / Sales
Service Provider
Product-based

What is your CURRENT average monthly income? *

Under $999 per month
$1,000 - $4,999 per month
$5,000 - $9,999 per month
$10,000 - $19,999 per month
$20,000 - $29,999 per month
$30,000+ per month

What are the top daily frustrations you experience in your business & life? (Hold down the control key to choose more than one) *

Myself (self-doubt, procrastination, lack of focus, etc)
Spouse and/or Children
Time (not enough, interruptions, ineffective management of it, etc)
Communication breakdowns
Behavior of others
Something else

If I had a magic wand and could give you ONE result in your business or life, what would that be? (please be truthful but realistic) *

Report feedback (Type your feedback here after reading the report. Did you find it helpful? What were your key takeaways? How can I make it better? Be honest.) *

Do you wish to remain anonymous within the publishing of this report? *

I wish to remain anonymous
Please include my name in the report

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