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Your Name

Last Name

Phone Number

Business Name (if applicable)

Location (City, State)

Have you started your NEMT business yet?

Briefly describe your current business, or your vision for your future business

What are your top 1-2 goals for your NEMT business in the next 6 months?

What’s the biggest challenge you’re facing right now?

Are you ready to invest time and resources into building your NEMT business? Please explain.

What is your current monthly or startup budget?

How soon are you looking to start working with a consultant?

Why do you feel working with me would help you succeed?

What do you think is the #1 obstacle preventing you from taking the next step in your NEMT business?

920-838-1177

info@nemtgc.com

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