Full Name

Email *

Phone *

What would you like to accomplish or improve with my help?

And what would you say is the #1 thing holding you back right now in terms of decisions or productivity?

Where does that #1 problem have the biggest negative impact?

Personal income or business revenue

Time with my family or friends

Feeling relaxed while I work so I can enjoy the journey

Being able to scale my business

My identity or reputation

Making my vision a reality

Reaching my true potential

Other

Are there things you've tried in the past that failed to resolve this problem? If so, please tell me what you've already tried.

Do you feel overwhelmed, scattered, or pulled in too many directions at once?

That's not really an issue for me
Occasionally, yes
Quite frequently
Most days
All the time
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Do you own your own business?

No, I am an employee

I started a business that is not generating revenue yet

100% owner of a single business with positive cashflow and net profits

Partial owner of a single business

Partner in several businesses

Serial Entrepreneur with sole ownership of multiple profitable businesses

What's the nature of the business you are in?

Given the demand for my coaching services, I only hold inquiry sessions for individuals who already understand the value of goal-acceleration coaching. Coaching involves planning and strategy sessions for a minimum of 3 months, but I prefer to work with entrepreneurs for the long term. Does this idea resonate with you?

Yes!

Hmmm, I'm not sure

I am only able to accept a very limited number of new clients each quarter. I choose applicants who seem most likely to allow me to influence their mindset and methods. With that said, are you willing to adopt new habits and experiment with new ways of thinking?

If it's a good match, how soon would you like to begin?

What time zone are you in most of the time?

Last question. Where did you hear about my coaching services?

Word of mouth referral

You were mentioned in an article I read

I did a google search that led me to your site

Found you on social media

Heard you on a podcast

I am a returning client

Other

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