First Name
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Last Name
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Phone
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Email
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Website
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How many years as a business owner?
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Business Name
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Describe your business and its primary products or services:
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What are your top three business challenges currently? (Select up to 3)
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Scaling Operations
Cash Flow Management
Talent Acquisition & Retention
Market Competition
Strategic Planning
Customer Acquisition and Retention
Operational Efficiency
Technology Advancements
Regulatory Compliance
Exit Strategy Planning
Work-Life Balance
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Please describe your current systems or processes do you currently use to manage business operations and growth?
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What are your primary business goals for the next 12 months?
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Are you open to significant changes in your business strategy and operations to achieve your goals?
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Yes
No
Do you commit to attending all scheduled coaching sessions and actively participating in the program?
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Yes
No
Select which coaching format and monthly investment level best aligns with your current goals and capacity?
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Mastery Group Coaching & Momentum Program (starting at $1,500/month)
Personal 1-on-1 Intensive Session & Mastery Program (Starting at $3,000/month)
Private Client Unique Engagement (starting at $5,000/month)
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