Full Name *

Phone *

Email *

1. What feels hardest or heaviest about your business right now ? *

I’m overwhelmed and unclear

I feel scattered or drained

Manageable challenges

Clear focus and direction

2. If you had to guess, what’s the real reason growth has stalled ? *

I truly don’t know

I have ideas, but nothing concrete

I can identify a likely issue

I know the root problem clearly

3. What’s the one area of the business you’ve been avoiding ? *

Multiple areas

One big area

Something small or manageable

I’m not avoiding anything important

4. What used to work that has stopped working ? *

A lot of things

A few major things

One or two small things

Nothing significant

5. What are you saying “yes” to that steals energy from what matters most ? *

Constantly

More than I should

Occasionally

Almost never

6. If you could remove one bottleneck instantly, how big would the impact be ? *

Transformational

Significant

Helpful

Minimal

7. Where do you feel the most confusion or lack of clarity ? *

In many areas

In one or two important areas

Small pockets

Clear everywhere I need to be

8. Are you stuck because you don’t know what to do — or aren’t doing what you know ? *

Both

Mostly don’t know

Mostly not executing

Neither — I’m aligned

9. What systems or processes haven’t kept up with your vision ? *

Almost everything

Several major systems

One or two systems

All systems are aligned

10. What does success look like in the next 90 days — specifically ? *

I have no clear 90-day goal

I have a vague idea

I have goals, but they’re not precise

I have clear, specific, measurable 90-day outcomes

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