Free Private Consultation with the Starter Coach We are very excited to help you get off to a Fast Start with your new LearningTheMarket.com membership. Your answers to the questions on this form will help our Starter Coach tailor your private, 30 minute consultation to you. We respect your privacy, and assure you that the information provided in this form will only be used for your consultation. Upon completing this form, you will be given the toll free number to call to schedule your consultation with our certified, professional Starter Coach.

Your Name:

Your Email Address:

What age range do you fit into? 18-2930-3940-4950-5960 +

What is your gender? Male Female

What is your highest level of education? High School GraduateAssociate's degreeBachelor's degreeSome Graduate SchoolDoctorate DegreeTrade School

What is your profession?

What kind of steady income would you like to achieve trading the market?

How many hours a day do you have to spend trading online? 1-2 hours2-5 hours5-8 hours10 or more

How much trading experience do you have? I'm a complete newbie.I've traded a little.I've traded a lot.I have many years experience.I would like to teach a class!

At LearningTheMarket, we've created special Master Mind trading groups for all levels of traders. Each group will be specifically tailored to meet the trading goals of traders like yourself. How likely would you be to join one of the groups and become an active group member? I don't do networking.It depends on the other people within the network.I would join, but probably won't participate.I will join and be an active member.I love social networking, I'll be all over this group!

What are some key elements you are looking for in signing up for LearningTheMarket? I just want to learn about the stock market.I've never traded, but curious to see if it's right for me.I've traded a little, but need to improve my skills.My goal is to trade for a living to support my lifestyle.I want to learn new strategies to make money.

Please describe your ideal arrangement with us. How can we help you to achieve your goals? The more information you give, the better.