Full Name ^*

Email Address ^*

Phone / WhatsApp ^*

Company Name / Website

Industry / Niche ^*

What product or service do you sell? ^*

What’s your biggest challenge with leads or sales? ^*

Current Monthly Revenue ^* Select... Under 50K 50K – 1L 1L – 5L above 5L

How soon are you looking to solve this? ^* Select... Immediately Within 30 days Just exploring

Which best describes your investment mindset? ^* Select... I’m actively looking to invest in a solution that gets results I’m looking for something budget-friendly I’m just researching for now

Have you worked with a lead generation provider before? ^* Select... Yes No

Anything else you'd like us to know?