Required to book a discussion. Within 48-hours of submission, you will receive an email with scheduling information. All submissions are 100% confidential.
Please give us 60-seconds of your time to provide insight that will allow us to prepare for our discussion, and better serve you.
Required so we can verify and deliver your reward: Complete Business Diagnostic Assessment valued at $287.
CLAIM YOUR REWARD AFTER YOU COMPLETE THIS FORM
As soon as you complete and submit this form, you will be taken to a thank you page and provided with a link to The Complete Business Diagnostic ($287 Value). A token of our appreciation.
Country & State Where You Conduct Business
If you operate an online only business - enter: Online Only AND include the Country & State where you operate from
Business Website URL
If not applicable, enter NA
Business Phone #
Which option best describes your situation?
Small or Family Business
E-Commerce Business (Only)
Medium Sized Business
Do you have a team?
NO - I'm a solopreneur
YES - However, they are all outsourced or working without pay
YES 1 to 5
YES 6 to 10
YES 10 to 20
YES - Only my partners
Do you pay yourself a salary?
YES - Weekly
YES - Monthly
YES - Annually
NO - However, I regularly draw funds from the business when needed
NO - However, I am paid regularly from Dividends
Do you have a Professionally Created Business Plan?
We have one, but it is not professionally created
Yes, but it's all in my head
Do you have an active business that is operating right now?
YES it is up and running and generating revenue
NO, we have structure but have not launched
Working to make it happen
Looking for help to improve existing business
Looking for help to get the business started
What stage is your business in?
IDEA - Working to make it happen
DEVELOPING A BUSINESS PLAN
READY TO LAUNCH - seeking investments/funding
LAUNCHED - seeking investments/funding
LAUNCHED - Pre-revenue
REVENUE POSITIVE - Have market traction
LAUNCHED - Do not know what to do next
ESTABLISHED and scaling
What are your biggest business challenges?
Developing my business plan
Funding - establishing investability
Validating business plan or idea
Implementing structure & plan
Getting off my ass and doing it
Knowing what to do next
Building a team
Understanding my role
Implementing Fractional leadership
How can we support you most effectively?
A community I can become part of
1:1 help (mentorship)
Fund Raising Strategies
Something else (add in NOTES below) Creating or revising business op
Are you and your business prepared to take action to move forward?
YES - Investing in our business is required for growth
OTHER (add in NOTES below)
What are you willing to invest annually to get the support needed to propel your business forward?
$0 - we do not have funds
$0 - we do not want external support
$0 to $100
$100 to $500
$500 to $1000
$1000 to $5000
$5000 to $10,000
$10,000 to $20,000
More than $20,0000
$0 to $100,000
$100,000 to $250,000
$250,000 to $500,000
$500,000 to $1 Million
$1 to 5 Million
$5 to $10 Million
Prefer not to answer
Our passion & mission is to holistically, strategically, and transformationally support early-stage entrepreneurs.
Please enter 25 WORDS or LESS describing what you are expecting from this appointment.
Our conversation is not intended to be a mentoring session but rather a discussion to help us understand your business, and its specific needs, while assessing how we can best help you move forward with our assistance.
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