Rick Veronese - Freedom Roadmap Form

1

What's your full name?* This field is required.

First Name

Last Name

2

What's your email?* This field is required.(Please use the same as you gave for appointment booking)

example@example.com

3

Provide a link to your portfolio* This field is required.(If you don’t have one please type “No Site”)

4

What stage of business are you in?

I’m employed and I haven’t started a business yet

I’m employed and I have been freelancing on the side

I’ve been a business owner for less than a year and I know it’s not where it should be

I’m established and doing well for myself, but I’m looking to hit a new level of growth

5

What is your current monthly profit earned from freelancing? (Please use USD)* This field is required.(If your sales fluctuate over the course of the year, give me an average. If you’re just starting out, leave a zero.)

6

How much would you like your monthly profit to be in the next 12 months?* This field is required.How much would you like your monthly profit to be in the next 12 months?

7

What are 1-3 things that are holding you back from hitting your target monthly profit?* This field is required.

8

Briefly describe your current services. Who do you serve? What type of services do you sell? What’s your price point?* This field is required.If you're just starting out, briefly describe the "ideal scenario" for the question above.

9

What else have you invested in, as far as training or coaching to get you to where you are today?* This field is required.

10

Right now I...* This field is required.

Have the financial resources to invest in starting a business upgrading my lifestyle

Have access to the financial resources to invest in upgrading my lifestyle

Don’t have the financial resources and I’m going to keep my lifestyle exactly where it’s at

11

When are you looking to take action to start a successful business to supercharge your lifestyle?* This field is required.

12

I will call you at the time you chose. Please commit to your appointment by typing this sentence in the box below: “Yes, I promise I will show up for my lifestyle design session when my coach calls.”* This field is required.

13

What are some hobbies you love doing (that have nothing to do with business)? * This field is required.