What type of business do you have? What do you do, what do you sell? *

Product-based

Service-based

Hybrid (both product and service)

Not sure yet

How many years have you been in business? *

Less than 1 year

1–3 years

4–7 years

Over 7 years

What is your role in the business? *

Owner

Partner

Manager

Employee or Other

Is your partner a spouse or someone else? *

Spouse

Business Partner (non-spouse)

No partner

Is anyone else directly involved in decision-making in your business? *

Yes, multiple partners or managers

Yes, just one other person

No, I make the decisions

Tell me about yourself... What's your Name? *

Business Name? *

What city are you from? *

What inspired you to start your business? *

Passion for the work

Financial independence

Family legacy

Necessity or job loss

Do you suspect revenues will increase, decrease, or stay the same next year? *

Decrease

Stay the same

Increase slightly

Increase significantly

In three to five years, what do you want your business to look like (Net Profit $, Value, etc.)? *

What is the best number to contact you to learn more about your situation? *

What’s the email to send you the video we talked about *

What will your approximate revenues be this year? *

Under $100K

$100K–$500K

$500K–$750K

Over $750K

How committed are you to making that happen? *

Interested but uncertain

Somewhat committed

Committed but need help

Fully committed

How frequently do you take a true vacation (no work calls or emails)? *

Never, I always check emails and answer calls

I can go about 2 weeks business the Business needs me back

3–4 weeks a year

Over a month off

Tell us about some of the challenges you’ve encountered so far. *

On average, how many hours do you work a week (including evenings and weekends) *

I am the business (it feels like 24 hours a day)

40–60 hours

20–40 hours

Less than 20 hours

Which statement best describes you? Check one… *

I'm an action-oriented person who is most comfortable when in charge.

I'm a 'people' person who values friendships in my work relationships and likes to build consensus

I'm calm and cool under presure and like to make logical rather than emotional decisions.

I like to study lots of information before making decisions.

Anything else you’d like us to know? *

How would you like us to contact you? *

Phone call

Text message

Email

Don’t contact me (just want the video)

What motivated you to fill out the application? *

Looking to grow profits

Burnt out and need systems

Wanting more time freedom

Curious to learn more

Did anyone refer you to us or our program? If so, who? *