New Consultant Form

MaggieButcher.com

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Wonderful New Consultant - I want to learn about YOU so that I can be the best coach for you in your business. Please take a minute to complete this brief and fun survey and submit within the next couple days. If there is anything else you would like me to know about you, please feel free to include that information as well.

* Indicates required field

Name *

Email *

Recruiter's Name *

Home Phone *

Do you text? *

Yes No

Cell Phone *

Current Occupation *

What I like most about what I do: *

Work Phone # (if it's OK to call you there) *

If married, husband's name *

Children's names/ages *

Please choose the group that describes you the best. *

Results-Oriented, Quick Decisions, Direc, Desire Authority People Oriented, Loves to Talk, Enthusiastic, Desires Praise Family Oriented, Slow to Change, Dependable, Desires Security Detail Oriented, Perfectionist, Critical/Analytical, Desire Organization

And which of them describes you second best? *

Results-Oriented, Quick Decisions, Direct, Desire Authority People Oriented, Loves to Talk, Enthusiastic, Desires Praise Family Oriented, Slow to Change, Dependable, Desires Security Detail Oriented, Perfectionist, Critical/Analytical, Desire Organization

The Accomplishment/Achievement I am Most Proud of in My Life is: *

In a job situation, I like to ... *

have a boss be a boss

I generally ____________________ about task, projects & goals. *

Think I can Think I can't

Check what you feel would be your TOP 5 benefits: *

Products at wholesale cost No quotas/territories Making new friends Tax advantages/savings Prizes & recognition Unlimited income Opportunity to travel Earning a new career car Greater self-confidence Being my own boss Job security of owning my own business Felxibility--more personal & family time Extra money to fund children's college education Learning skin care & glamour techniques Company philosophies-God 1st, Family 2nd & Career 3rd

How much would you like to earn weekly? *

How many hours are you willing to put into your business each week? *

I am interested in moving up to a leadership position of Grand Achiever (free career car) *

Yes No Maybe

I am interested in moving up to a leaderhip position of Sales Director: *

Yes No Maybe

What I would like for my success coach to provide me: *

What is going to inspire you the most? (check 1 or 2)? *

Phone call of encourgement Earning prizes Making money Recognition: privately and/or in front others

Feel free to add anything you would like me to know about you, your situation, family, hobbies, etc.. *

It would make me happy if my director asked me to (select all that apply): *

Bring cookies or a cake for everyone at an event Present some new material to our consultants Challenge myself to reach a high goal, thus requiring me to do my very best to achieve something new Help with the logistics of an event--planning, preparation, details work

The skills I am most excited to learn right away are (choose all that apply): *

Memorizing my new "menu" (the product line-features, benefits, prices) Booking & coaching (how to effectively set up appointments & coach them so they successfully hold) Selling skills (closing, customer service, etc.) Teambuilding (how to build a team & work well with other women & be in a leadership position)

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