Booking Form

First Name

Last Name

Name and Website for your company

Phone Number

Time Zone

Please tell me about your business: Who do you help, and what transformation do you offer?

How long have you been in business? (ex. 2 year)

Do you currently work outside of your business? (Career) If so, please share your title and years of experience

Select your current monthly revenue. Pick the answer is in alignment with your consistent month to month revenue

Less than $5,000/month

Between $5,000 - $7,000/month

Between $7,000 - $10,000/month

Between $10,000 - $15,000/month

Between $15,000 - $20,000/month

Between $20,000 - $30,000/month

Over $30,000/month Less than $100,000/month

What is your biggest challenge in business right now? (Ex. Related to your life, identity with big money, sales, pricing, marketplace positioning, marketing, or customer attraction)

You're almost at the finish line. Imagine a day I pick you up with an executive driver. The door Is opened for you, and there is a bottle of the finest champagne on the rocks (or sparkling water) with an assortment of fresh fruits and juices. You take a sip after we greet one another officially. What would you tell me about your goals for your business? How would these goals impact your life?

What have you tried so far?

Have you ever or are you currently working with a business coach?

I Have in the Past

I Am Currently Working with Someone

What is the maximum amount you are comfortable investing in order to receive solutions, strategy, structure, and guidance necessary for you to hit your profit goals?

Between $3,000 - $5,000

Between $5,000 - $7,500

Between $7,500 - $10,000

Between $10,000 - $16,000

I'm all in! Whatever investment is required for me to achieve my goals I'm ready to take action.

Thinking about your answer to the above question, please select the option that best matches your decision.

I'm ready to invest if everything feels right.

I'm currently unable to make any investment.

I will need 3 - 5 business days to access funds and feel more comfortable making a deposit

Do you need to consult with an advisor/CPA, spouse, partner, or family member before making financial decisions? If you do need to consult with someone, no worries! They will need to be present during our consultation.

Yes

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