First Name
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Last Name
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Email
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Phone
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By providing my phone number, I agree to receive text and other messages from the business.
Website (if you have one)
What's the category that best describes your work?
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Choose one
If "Other" please describe the category in just a few words:
How many years have you been in business?
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What is your average monthly revenue (kept strictly confidential)?
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What would you like it to be in the next 1-3 years?
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If your average monthly revenue won’t cover the investment in mentorship, do you have another financial source that you plan to use for the investment?
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Yes
No
How long have you known about Jeffrey and his work?
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How clear are you about exactly who your audience and ideal client is?
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How effective is your current messaging (including your messaging in videos, livestreams, webinars, training, speaking and copywriting)?
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What are your biggest frustrations when it comes to making your message more effective?
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What inner stumbling blocks do you struggle with when it comes to visibility, influence, and reach?
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What kind of support or training do you feel you most need to move your purpose, message and business forward?
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What is your purpose or calling, and why does it matter to you personally?
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What has you interested in working with Jeffrey if this is the right fit?
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Anything else you feel we should know before we talk?
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