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Name

Email Address

Are you a service-based business?

Yes

No

Which best describes your situation?

My service is already selling and I’d like your help scaling to the next level.

I have an offer but generating new clients is very up and down.

I have an offer ready to sell but it’s early days and I haven’t generated any clients yet.

This is a new venture for me. My offer isn’t created yet and I don’t have any clients .

How much do you sell (or would like to sell) your service, coaching or program?

Please describe your business, what you offer and who you serve? (be as detailed as possible)

Where is your current monthly revenue in your business right now?

$0-$3k p/m

$3-$7k p/m

$7-$10k p/m

$10k+ p/m

What is your ideal monthly income for this business?

(Monthly revenue)

What do you feel you need the most help with right now?

If you’re accepted to work with us, do you have the financial resources to invest in the growth of your business right now?

Yes I have money to invest in my business.

Yes I can access money to invest in my business.

No I cannot invest in my business right now.

Finally, where are you on this scale of 1-5? (1 being “I’m not very serious about my business right now” and 5 being “I’ll do WHATEVER it takes to reach my goals”

Final question...

1

2

3

4

5

Anything else you feel we should know?

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