LYFE Re-engineered for Business Owners Survey

LYFE Re-engineered for Business Owners Assessment Form

The Business Credit & Funding Platform offers more funding sources than anywhere else in the world. Having thousands of different lenders and a multitude of funding programs means you have an exceptional chance of securing money quickly.

Name of your business

Name *

Phone *

Email *

Consultant Name or Rep ID# Who referred you? *

Please select which product(s) you are interested in receiving a free assessment and/or additional Information

Business Credit (assessment available)

Business Funding (assessment available)

Business Debt Elimination (assessment available)

Digital Marketing Services (assessment available)

Incorporating Services (assessment available)

Discount Medical & Dental Savings Program

1. What kind of business do you operate?

2. What industry does your company participate in?

3. Month and year business was started:

4. Is your business home-based?

No

Yes

5. How is your business classified?

Sole Proprietor

Incorporated

6. Incorporated State:

7. How many employees do you have?

8. Is there a bank account in the business name?

No

Yes