Your On-Line Interview with jaWorldConnect.com

jaWorldConnect-Dedicated to improving your Lifestyle

Your On-Line Interview

jaWorldConnect - "We Improve Lifestyles"

The following interview will help us learn the best way to empower you. Remember - the goals that you set for yourself can always be achieved. First, you must visualize yourself as already having attained your goals. What you are able to visualize in your mind's eye and believe, you have the power to achieve! With serious reasons to pursue your goals, you will actively and consistently apply yourself over time and certainly reach them. This is the framework upon which we empower you to get what you really want.

Our SIMPLE straight forward Plan of Action enables you to build up your own Income Producing Asset. This is DUPLICABLE by anyone who follows the plan. And, since the plan utlizes the principle of LEVERAGE, it can generate an ongoing monthly recurring residual income stream - a "Contingency Plan" for your future.

Please take a few minutes now to complete your online interview. Rest assured that all information provided will be held in strictest confidence. None of your information will ever be sold or used for any other purpose than to help us communicate more effectively with you.

First and Last name:
What do your friends call you (nickname):

Your email address: (e.g.: you@domain.com)

Best phone number to reach you (with country, city, area codes):

Address:

City/Town: State/Prov.: Post./Zip Code:

Country:

Best time for us to contact you:
9 - 11am
   1pm - 4pm
   7pm-10pm
   I'll Call You Toll-Free at 888-374-3712 at the time I checked above

What are you most interested in learning more about? (check all that apply):
LifePak    29and5 Contingency Plan     NuSkin Personal Care
  Pharmanex Products  Bio-Photonic Scanner        Alternative Network Marketing
  Big Planet Technologies      Privileged Member Program   Income Producing Assets
  FREE 30-Day e-Mail Training   Other - (Describe down below)

The following questions will help us learn more about you and your specific interests.
(please check the answer that best describes you - there is no "right" or "wrong" answer)

As soon as we receive your on-line interview, we will review it and get back to you within 24-hours. If you have specific questions or feel uncomfortable completing your interview on-line, we will be happy to speak with you. Please contact us toll-free at 1-888-374-3712 and Press Option 2 to schedule a convenient phone interview or just fill out those parts of the interview that will permit us to contact you with more information.

I enjoy talking to people and sharing good experiences with them:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I am comfortable meeting new people:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I would enjoy working on my own, without a boss, from home:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I enjoy learning new things:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I'm interested in earning extra money every month:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I'm interested in investing money every month:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I believe One-Hundred Dollars ($100) a month is a reasonable expense to operate my own business:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I'd be able to devote 5 hours a week to building my own business:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I'd be able to devote more than 5 hours a week to building my own business:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

Health and feeling great is important to me:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I'm looking to retire at an early age:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I enjoy helping to motivate others:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I enjoy setting goals and accomplishing them:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I would like to earn a recurring monthly residual income:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I believe I could earn a full-time income from my own business:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I would eventually like to work from home full-time:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I have a significant other that supports my efforts:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

I would enjoy spending more free time with my family and friends:
1- Not interested
   2- Somewhat interested
   3- Interested
   4- Very Interested
   5- Extremely Interested

What type of work do you do now?...

What would you do with your extra monthly income?...

Have you ever owned your own business, and if yes what did you do?...

Do you have previous Network Marketing experience? (If yes, please describe)...

What is the most important reason why you are pursuing this?...

What other things would you like to share that you feel
would contribute to your success in your own business?...