First Name
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Last Name
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Phone
*
Email
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What’s your business and how long have you been running it?
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What’s your biggest challenge right now in your business?
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Lack of focus or direction
Struggling with marketing/sales/revenue
Inefficient operations
Feeling burned out
Any other challenges you’re facing in your business right now? (Feel free to elaborate in your own words)
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On a scale of 1-10, how motivated are you to take your business to the next level?
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How many hours per week can you commit to working on your business?
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less than 7hrs
more than 7hrs
What would success in your business look like in the next 6 months?
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Are you ready to take action if it's a good fit?
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Yes
No
What is your current annual income?
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Under $74,000
Between $75,000 – $250,000
Over $250,000
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