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Have you ever owned a home based business?
 
Yes
 
No
 
 
 
What is your email address?
   
 
 
 
What is the highest level of education you have completed?
 
Elementary school
 
High School/GED
 
Associate Degree
 
Bachelors Degree
 
Masters Degree
 
Other
 
 
 
 
What is your age?
 
Under 18
 
18 to 24
 
25 to 36
 
37 to 45
 
46 to 54
 
55 to 64
 
65 to 75
 
76 and over
 
 
 
What is your gender?
 
Male
 
Female
 
 
How comfortable/uncomfortable are you with the following:
Very Comfortable Comfortable Neutral Uncomfortable Very Uncomfortable
Talking on the phone
Speaking in front of audience (less than 20 people)
Speaking in front of audience (more than 100 people)
Talking to strangers
Making "small talk"
Entertaining in your home
 
 
How good are you with computers and the internet?
 
 
What is your interest level in the following types of products or services?
Very Interested Interested Neutral Uninterested Very Uninterested
Nutritional
Diet
Beauty
Coffee and Tea
SuperFoods
Skincare
Personal Care
Internet
Financial
Telecommunications
Legal Services
 
 
 
How much have you budgeted to start a new business?
 
0-$100
 
$100-$300
 
$300-$500
 
$500-$1,000
 
$1,000-$3,000
 
$3,000-$5,000
 
 
 
How much are you looking to earn per WEEK?
 
$100-$500
 
$500-$1,000
 
More that $1,000 per week
 
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