Intake Form

Let's assess the health of your business.

Do this before the group gets started.

It is imperative that you answer honestly and realistically so that your coaching plan can help you succeed.

First Name

Have you been in business for the last 12 months?

Yes

Last Name

Date of Birth

Is your business legally setup with the secretary of state, and Irs?

Yes

Business website (if available)

Business Social Pages

Describe your business...what do you do? What do you sell?

Who is your targeted audiece?

Have you gone through any business training before? If so, where? What did you learn?

What's the one thing you know your business needs?

How much is your lowest priced product, or service? Descibe product or post link to it.

Highest Priced? Descibe Product or post link to it.

Are you a published author?

Yes

Still Writing

How much income does your business currently bring in monthly? *

Just getting started (last 60 days)

$0-$1500

$1500-$2500

$2500-$4500

$4500-$7500

$10,000+

How much do you desire to make monthly in the next 6 months (average) *

I just want to help others.

I would be happy to see $1,000

I want to increase to 5K

I want to see $20k+

I am looking for 6 figures monthly

Are you willing to do whatever it takes to level up in your business?

I declare that the info I’ve provided is honest, accurate & complete

Thanks for submitting!

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This website is dedicated to educational purposes only. Results and outcomes will vary with person.

earnings disclaimer

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