| 
              
              
                | 2. Are you, or have you recovered from a significant financial loss?  | 
                
                  Yes  
                  No | 
              
              
                | 3. What is your gender? | 
                
                  Male  
                  Female | 
              
              
                | 4. How old are you? | 
                 | 
              
              
                | 5. What is your current personal (not business gross) range of income? | 
                 | 
              
              
                | 6. Are you currently an employee? | 
                
                  Yes, I'm an employee 
                  
                  No, I'm unemployed 
                  
                  No, I'm a business owner/entreprenuer 
                   How long have you owned your business?
                    
                     
                   
                  
                  No, I'm retired and living off my investments 
                  
                  
                  Yes, but I want to be a business owner | 
              
              
                | 7. Are you frustrated with being comfortable at your current financial level? | 
                
                  Yes  
                  No | 
              
              
                | 8. Have you been at the same financial level for 2 or more years? | 
                
                  Yes  
                  No
                   
                    
                     
                    | 
              
              
                | 9. Are you aware that your beliefs may be the only thing holding you back from achieving wealth and financial freedom? | 
                
                  Yes  
                  No | 
              
              
                | 10. Have you been looking for help to increase your financial situation? | 
                
                  Yes  
                  No |