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ERIC ANDERSON
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Eric Anderson 365 Private Consulting Confidential New Client Application
Complete Contact Information / Profile
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Indicates required field
Name
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First
Last
Spouse Name
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First
Last
Business Name
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Business Street Address
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Line 1
Line 2
City
State
Zip Code
Country
Option: Home Street Address
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Line 1
Line 2
City
State
Zip Code
Country
Business Phone Number
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Option Home Phone Number
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Email
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Please rank each of the following marketing-oriented items according to the difficulty or challenge they currently represent to you; rank EACH ONE on a 1 - 5 scale, 1= insignificant, to 5= Very Significant.
Advertising Effectively
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1
2
3
4
5
Generating sufficient QUANTITY of leads / clients
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1
2
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4
5
Generating satisfactory QULITY of leads / clients
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1
2
3
5
5
Converting leads to sales / clients
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1
2
3
5
5
Controlling cost of advertising, lead generation, client acquisition
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1
2
3
5
5
Client retention
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1
2
3
4
5
Stimulating repeat business from clients
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1
2
3
4
5
Stimulating referrals from clients
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1
2
3
4
5
Do you have a crystal clear message to market match?
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1
2
3
4
5
Creating compelling offers
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1
2
3
4
5
Responding to marketplace changes, competition
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1
2
3
4
5
Taking advantage of new opportunities
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1
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3
4
5
Please rank each of the following business and financial oriented items according to the difficulty or challenge they currently represent to you; rank EACH ONE on a 1-5 scale, 1= Insignificant, to 5= Very Significant.
Finding time to implement new / improved marketing strategies
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1
2
3
4
5
Getting employees and / or associates "on board" with my marketing approach
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1
2
3
4
5
Converting my business from a manual labor / selling driven operation to ATTRACTING your best clients to you.
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1
2
3
4
5
Clarifying and staying on track toward definite goals and objectives
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1
2
3
4
5
Managing my time
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1
2
3
4
5
Conquering procrastination
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1
2
3
4
5
Hiring / training / managing employees
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1
2
3
4
5
Monitoring and evaluating important data, statistics, information in my business
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1
2
3
4
5
Setting, selling and commanding premium prices for my products/services
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1
2
3
4
5
Maintaining satisfactory profits
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1
2
3
4
5
Extracting sufficient money from my business to wisely invest, build wealth
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1
2
3
4
5
Taking a satisfactory aount of time off away from business, without worry or guilt
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1
2
3
4
5
Do You Regularly Or Frequently Use:
Live Webinars
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Yes
No
Recorded Webinars
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Yes
No
Speaking To Get New clients
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Yes
No
Social Media Content Creation / Posting
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Yes
No
Paid Advertising across any of these social platforms. Instagram, Facebook, Tik Tok, Linkdein, YouTube, Twitter aka X
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Yes
No
Email Marketing
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Yes
No
Direct Mail
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Yes
No
SMS / Text Messaging
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Yes
No
Broadcast voice messaging
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Yes
No
Print / Digital Advertising, Local
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Yes
No
Print / Digital Advertising, National
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Yes
No
Radio / TV advertising Local
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Yes
No
Radio / TV advertising National
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Yes
No
Publicity / News Releases, Local
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Yes
No
Publicity / News Releases, National
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Yes
No
Newsletters
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Yes
No
Joint Ventures
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Yes
No
Attending Networking Events
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Yes
No
How many marketing strategies or systems do you have in place that consistently generate new business for you? Enter number below
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How many marketing strategies or systems do you have in place that consistently stimulate repeat business, lock in continuing or renewable income and/or stimulate referrals? Enter number below
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Personal and Professional Background
Age
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Years in current business
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Family
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Married
Single
If married spouse is (check one):
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Very active in business
Somewhat active, very supportive
Inactive but supportive
Inactive, disinterested
What is your income goal for this year
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Briefly describe your current business
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Describe 3, 4 or 5 major goals you are working toward:
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Describe 3 major sources of stress, frustration or unhappiness that interfere with your productivity and rob you of piece of mind
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List the books that have had a profound impact on your life, and describe the most significant information and ideas gained from one of them
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Your Schedule
Number of hours you work, average week
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Number of hours you'd prefer to work, average week
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% of work-time you rank as productive
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Number of hours per week you work "on" vs. "in" your business
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Number of weeks of vacation taken last year:
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Number of weeks vacation you'd prefer taking:
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Rank yourself in Direct Marketing Experience: (Mark One)
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Very knowledgeable; serious student; very active in using strategies
Very knowledgeable; serious student; but not very actively implementing
Somewhat knowledgeable, actively implementing
Somewhat knowledgeable, but not very actively implementing
A relative novice
Why do you want to participate in this Private 1 to 1 experience and have Eric Anderson personally hold your hand and guide to success? And, why do you think you are a good candidate?
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Submit your application now
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