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Your Full Name
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Your Email Address
(valid email required)
Your Phone Number
Please write a few paragraphs describing your business
What are your biggest frustrations in your business?
What are your biggest fears in your business?
What do you want to achieve in your business?
Why do you want to achieve it?
Do you have a website? (If so, please include your URL)
Are you doing any marketing on the internet? (If so, please provide examples and explanations)
Are you doing any offline marketing? (If so, please explain)
Do you have a strategy for getting regular referrals?
How many paying clients do you currently have?
What do you charge for your services? (Please thoroughly explain)
How much is your current annual revenue?
How many hours a week do you spend working ON your business, doing things to drive the business forward? (This includes creating strategies, creating systems within your business and creating your marketing campaigns)
Do you have any employees or independent contractors working for you? (If so, please explain their duties)
Where would you like your business to be in six months?
Where do you want to be in your business and in your life in 5 years?
What do you want to get out of the coaching?
What are the 3 biggest areas of your business you’d like to address first?
What phone number can you be reached at?
What email can you be reached at?
What geographical area is your business in?
How many hours a week do you spend working ON your business, doing things to drive the business forward? (This includes creating strategies, creating systems within your business and creating your marketing campaigns)
Do you have any employees or independent contractors working for you? (If so, please explain their duties)
Where would you like your business to be in six months?
Where would you like your business to be in six months? Where do you want to be in your business and in your life in 5 years?
What do you want to get out of the coaching?
What are the 3 biggest areas of your business you’d like to address first?
Will you apply what I teach you? (If you’re answer is “no” you won’t be accepted into the program)
What phone number can you be reached at?
What email can you be reached at?
What geographical area is your business in?

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