Name *

First Name

Last Name

Are you being proof the products work? *

Yes

No

Is your status still active? *

Yes

No

Are you currently receiving a monthly subscription product? *

Yes

No

Have you completed a program from start to finish this year? *

Yes

No

Do you listen to the National Wake-Up Call each week (live or recording)? *

Yes

No

Do you get on your Team calls (live or recording)? *

Yes

No

Are you registered for Summit? *

Yes

No

Are you planning to attend the next Super Saturday? *

Yes

No

Are you showing up daily on social media? *

Yes

No

Are you posting on purpose/with strategy? *

Yes

No

Did you hit Success Club last month?

Yes

No

Did you finish a personal development book/program last month? *

Yes

No

Did you successfully implement a tip, tool, or strategy from a recent training? *

Yes

No

Are you actively engaged with everyone on your team? *

Yes

No