How many years have you been in business?
*
<3
3-5
5-10
10+
How many books have you read on business (not including industry specific knowledge) in the past 12 months?
*
<5
5-10
10-25
25+
How many hours have you spent learning business (not including industry specific knowledge) in the past 12 months?
*
<5
5-10
10-25
25+
How many hours have you spent talking business (sales, marketing, accounting ) with fellow entrepreneurs (not including industry specific knowledge) in the past 12 months?
*
<5
5-10
10-25
25+
Do you know your average dollar sale?
*
Yes
No
Do you know how often people buy from you?
*
Yes
No
How often do you receive income statements?
*
Annually
2x a year
Quarterly
Monthly
How frequently is your book keeping completed?
*
Weekly
Monthly
Quarterly
Annually
How often do you speak to your accountant?
*
Never
Monthly
Quarterly
Annually
What is your business annual revenue?
*
<$100K
$100K to $300K
$300K to $500K
$500K to $1M
$1M to $5M
$5M +
How many employees to you have?
*
1-2
3-5
5-20
21-50+
How many hours do you spend working each week?
*
<40
40-50
50+
What is your primary business goal over the next 12 months?
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Grow revenue and sales
Improve profitability and cash flow
Build stronger systems and reduce owner dependency
Prepare the business for eventual sale
What is your long-term vision (3–5 years)?
*
Build and exit by selling the business
Create a lifestyle business with more freedom
Scale into a larger company with multiple locations/products
Still figuring it out / not clear yet
What is your biggest current frustration in business?
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Lack of time / always too busy
Cash flow and profitability
Team performance and accountability
Direction and strategy
Why did you start your business?
*
Greater independence and control over my future
Continued or inherited a family business
Saw an opportunity or had a good idea
Long-term wealth and lifestyle improvement
What is your average monthly profit margin?
*
Less than 10%
10–20%
21–35%
Over 35%
How much do you currently spend on marketing each month?
*
Less than $1,000
$1,000–$5,000
$5,001–$15,000
$15,000+
How many new clients/customers do you bring in each month?
*
0–5
6–15
16–30
30+
How many new clients/customers would you ideally like each month?
*
0–5
6–15
16–30
30+
How well-documented and implemented are your business systems and processes?
*
We don’t really have formal systems in place yet
We have some basic documents, but not for everything
Most areas are covered, but consistency is lacking
All key systems are fully documented and followed
Have you ever worked with a business coach?
*
No, never
Yes, for less than 6 months
Yes, for 6–12 months
Yes, for more than 1 year
How much did you invest in coaching when you worked with one?
*
Less than $5,000
$5,000–$15,000
$15,001–$50,000
$50,000+
What best describes your understanding of a business coach?
Someone who keeps me accountable
Someone who provides strategies and tools
Someone who challenges me to grow personally and professionally
I’m not really sure
First Name
*
Last Name
*
Email
*
Business Name
*