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
Which coaching experience are you most drawn to: personalized 1:1 sessions or a group program with entrepreneurs who share similar goals and challenges?
Individual coaching
Group coaching
I have questions and would like to explore both options
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