Influencers
Market Influencers
Market Influencers Questionnaire:
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Select the best that describes your interest in Market Influencers:
*
Business owner / partner
Executive
Self-employed
Considering new business
How would you categorize your business based on the following industries (choose one):
A. Service
B. Manufacturing
C. Wholesale/Distribution
D. Creative
E. Construction
F. Food service
G. Others
Age
*
20 to 30
31 to 40
41 to 50
51 to 60
60 and up
Gender
Male
Female
Is this initial format for 'Market Influencers' helpful?
What would you like to hear in an upcoming Market Influencers Forum? Please select your top three topics as they relate your role in business from the following list:
Isolation
Work-Life Balance
Family / Marriage / Children
Finding Help for my business
Integrating Faith
Leading with Integrity
Time Management / Distractions
Honesty in the Marketplace
Funding My Idea(s)
Managing Staff / Personnel
Managing Finances
Biblical Selling
Pride / Selfishness
Fear
Lust
Benevolence
Are you interested in once a month '1-on-1' mentorship?
Yes
No
Would you like to be notified about future 'Marketplace Influencers' Events
Yes
No
Thank you!