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Your Name
Your Contact Email
Your Company Name
Company Website
What is your business’s primary product or service?
How long has your business been operating?
0-1 Years
1-5 Years
5+ Years
What’s your current annual revenue range?
Under $100k
$100k-$500k
$500k+
How many team members do you currently have?
Just me
1-2
2-10
10-50
50+
What systems (if any) do you currently have in place to manage marketing and operations?
What specific goals are you hoping to achieve by working with a consultant?
What are your top three challenges in growing your business?
What aspects of your business are you looking to scale or automate?
Who is the decision-maker for hiring a consultant within your company?
On a scale of 1 to 10, how ready are you to invest in professional consulting to grow your business?
1 - Not Ready Yet
2
3
4
5 - On the fence
6
7
8
9
10 - I was born ready
What’s your ideal timeline for starting a consulting engagement?
Immediately (0-3 months)
Very Soon (3-6 months)
Sometime this year (6-12 months)
Have you worked with a consultant or coach before? If so, what was your experience?
What does success look like for you in this consulting partnership?
Anything else you’d like us to know about your business or goals?
Have you worked with a consultant or coach before? If so, what was your experience?
Will we need to sign an NDA to work with you? (Your privacy is always first with us.)
Yes, an NDA will be required for all interactions with the company.
No, an NDA is NOT required to work with us, although we ask for privacy in dealings where applicable.
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Yes, I agree to the Privacy Policy and Terms of Service.
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