Create Survey Record Survey Form Please fill this form and submit to add survey record to the database. Ph#, email, LName, Company Agent Entry Date First Name Last Name Company City Prov/State Business Phone Cell Phone Email Website 1. On a scale of 1 to 10, how would you rate your “inflation on your Business”? (1- BEING NO IMPACT.) 2. Are you the owner of the cleaning company? — Choose t — Yes No 3. Would you consider using Eco Friendly Cleaning Products to get new clients? — Choose — Yes No 4. In 2024 how many new clients would you like to Acquire? — Choose — Yes No 5. Would you want to learn how to get new prospects online to improve your income? — Choose — Yes No 6. Would an ADDITION INCOME STREAM benefit your family? — Choose — Yes No Comment