Full Name
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Email
*
Meeting Type
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Google Meet (Video Chat)
Phone Call
Send text messages to
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Do you have your home care license yet / are you up and running?
*
Yes
No
What is the name of your company and what is your role in the organization?
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How long in business
*
Location Situation
*
What is motivating you to fill out this questionnaire? Current census, weekly billable hours, challenges you are facing, how long has this affected your bottom line, etc.
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Describe your current marketing efforts? Existing referral sources, hours spent a week on marketing, etc.
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What are 3 goals you would like Hurricane Marketing Enterprises to help you with this year
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What would you like HME to help you focus on?
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Sales
Marketing
Hiring and Management of a Marketer
Operations
Other
What HME programs have you looked into? *
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Boot Camp
Rapid Results
Fast Start
Hurricane University
Coaching
Other
None of the above
Do you have a minimum of $997 to invest in our entry-level offer in the form of credit or cash to invest in the success of your business? *
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Yes
No
Maybe