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Thank you for your interest in the 9th Wonder Agents program!
Your Name
Email
Cell Phone Number
Tell us a bit about yourself:
I have been licensed for ___ years.
I achieved my sales/revenue goals for 2021 (1 Strongly Disagree - 10 Strongly Agree)
1
2
3
4
5
6
7
8
9
10
My sales production is consistent week in and week out (1 Strongly Disagree - 10 Strongly Agree)
1
2
3
4
5
6
7
8
9
10
My sales production is cI have a weekly sales goal (1 Strongly Disagree - 10 Strongly Agree)
1
2
3
4
5
6
7
8
9
10
I invest in personal development (sales training, product knowledge) every __________.
Day
Week
Month
From time to time as my schedule allows
I have a set work schedule that I strictly adhere to
Day
Week
Month
From time to time as my schedule allows
In my best year, I produced $___________ of issued life premium.
$0 - $29,999
$30,000 - $49,999
$50,000 - $79,999
$80,000 - $120,000
Over $120,000
Over $600
Other:
If Other Please specify
My biggest challenge in reaching my sales/revenue goals is (check all that apply)
I need more leads/qualified prospects
I need better prospects/leads
I need to improve my closing skills
I need better structure and organization of my time
My commission rate is too low
I have too many chargebacks that hurt my cash flow
Other
If Other Please specify
On an average week, I spend $_____ on leads, preset appointments, marketing or advertising.
$0 - $100
$100 - $300
$300 - $600
Over $600
I am appointed with the following carriers (Check all that apply): *
Mutual of Omaha
Transamerica
Foresters
Americo
National Life
Gerber
American Amicable
Allianz
Royal Neighbors
Other
If Other Please specify
Please contact me for my personalized business assessment _______________.
By Phone Call
By Text Message
Via Video Conference (send me a link to schedule a meeting)
By submitting this form, I agree to be contacted by 9th Wonder Financial and its affiliates via phone, e-mail and SMS
Submit
