Full Name *

Email *

Phone

Business Name *

Website / Social Links

Business Type *

Years Operating *

Current Average Monthly Revenue *

Revenue Goal (Next 6 Months) *

Biggest Bottleneck Right Now *

How do you currently get customers? *

Do you have a structured sales process? *

Do you consistently follow up with leads? *

How organised is your backend? (1–10)

Label: 1 = Chaos, 10 = Fully systemised

If you got 30% more customers next month, could you handle it smoothly? *

What type of support are you looking for? *

Are you ready to invest at least $900/month to implement a proper growth system? *