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* 1. What is your business name?

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* 2. Which area(s) of the country do you serve?

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* 3. How do you currently promote your business and generate leads? (Select as many as applicable)

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* 4. Do you currently have a PowerLeads branded website or PowerLeads+ lead generation website?

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* 5. Which of our marketing programs do you currently participate in? (Select as many as applicable)

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* 6. Which of these online marketing services are most important to you? (Select as many as applicable)

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* 7. Which of these offline marketing services are most important to you? (Select as many as applicable)

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* 8. Which of these business services are most important to you? (Select as many as applicable)

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* 9. Are there any other marketing or business services that your business could use help with? (if yes, please specify)

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* 10. Would you be willing to pay for marketing or business services that we provide (if the cost was very reasonable, perhaps $10 to $25 per month)?

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