Liberty Brand Consulting & Leasing LLC
Before we get started, please tell me about you, the applicant...
First Name
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Last Name:
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Birthday MM/DD/YYYY
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Job Title:
Company:
Phone:
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E-mail
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What time Zone are you in?
Pacific Time Zone
Mountain Time Zone
Central Time Zone
Eastern Time Zone
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To assist our team in understanding your current needs please complete the following questionnaire. Give yourself 5-10 mins to complete the answers.
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Current Status
Describe what you do in business. What service or product are you KNOWN for?
What makes you unique and stand out from others in your industry?
What is the #1 goal for your business you are looking to achieve?
What kind of guidance are you looking for?
Done for you services
Exclusive 1:1 coaching
Group + 1:1 coaching
Mastermind Group
Self Study Course
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What have you tried?
Do you have an accountability partner?
Yes
No
Have you invested in a mentor?
Yes
No
Have you invested in learning new skills in the last 24 months?
Yes
No
What is your favorite style of learning? Specify 1:1 and/or group learning, self study
Have you attended any seminars in the last 24 months?
Yes
No
Please list seminars you have attended both in person or online:
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About You
Do you read/listen to books or podcasts to expand your understanding?
Yes
No
Do you partake in daily writing exercises?
Yes
No
Do you have a list of daily productive habits that you follow?
Yes
No
Do you feel you currently have a good work life balance?
Yes
No
Would you say you are a committed and driven person?
Yes
No
Is there anything you feel important to share with Liberty about you or your business that could help in determining the best solution for your goals?
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Vision
Do you feel your goals are clearly defined?
Yes
No
Are your goals written?
Yes
No
Other
Please list your TOP 3 goals that you have defined for yourself or your company?
When you wake up are you excited about your goals?
Yes
No
Are you implementing a strategy for the attainment of your goals?
Yes
No
Yes but not consistently
Other
Do you have a timeline in which you plan to achieve your goal?
Yes
No
Other
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Development Profile
Prior to today, have you invested in developing yourself, your team, or business?
Yes
No
Other
If you feel comfortable in sharing, what is the most that you have invested in the betterment of yourself or your team?
What is the budget decided for you and/or your company's personal/professional development in 2023?
$15,000-$25,000
$5,000-$10,000
$$3,000-$5,000
$1,000-$3,000
$100-$1,000
Do you make the decisions for yourself and/or your company?
Yes
No
Other
What is your #1 fear when thinking of investing in the betterment of yourself or your team?
Are you in a position to make a decision today or in the next 3 months to implement an aligned strategy for the attainment of your goals?
Yes
No
If we determine working together is a good fit, would you like to use our 3rd party funding to Fund the program?
Yes
No
What is your annual income?
Less than $40,000 annual
More than $40,000
What is your credit score?
less than 600
600-620
620-650
650+
End of Application
Be sure to hit the SUBMIT button below. Your submission will be reviewed by a member of Liberty Brand Consulting & Leasing LLC.
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