Choose Your Next Step

Thank you for attending the BitShield Private Supporting Agent Orientation. This form helps us understand where you are after orientation and how the BitShield team should follow up with you.

The orientation was designed to help you understand the mission, the pathway, the cost structure, the licensing expectations, the launch runway, and the opportunity to serve families through protection-first education.

Please choose the next step that best fits where you are right now. There is no pressure. A clear "not now" is better than a pressured "yes."

BitShield Post-Orientation Decision Form

Full Name *

Email Address *

Phone Number *

Did you attend the BitShield Private Supporting Agent Orientation? *

Yes

I attended part of it

Which best describes your decision after orientation? *

I am ready to move forward

I have more questions

I am interested later

This is not for me right now

Are you currently licensed in life and health insurance? *

Yes

In progress

Not sure

What part of the orientation helped you most? (Select all that apply)

If you are ready to move forward, what is your preferred next step?

I want onboarding instructions

I want information about the Education Starter Kit

I want help starting pre-licensing

I want to speak with someone first

Not applicable

If you have questions, what would you like clarified?

Best way to contact you *

Call

Text

How soon would you like someone to follow up? *

Within 24 hours

This week

Later

No follow-up needed right now

I understand that submitting this form does not obligate me to join BitShield, become licensed, purchase anything, or move forward. I am simply selecting the next step that best fits where I am after orientation.

No pressure. No obligation. Your response simply helps us follow up in the way that fits you best.