Barbell Business Summit Application

1
What's Your Name?* This field is required.
First Name
Last Name
2
What's Your Gym's Name?* This field is required.
3
How many years have you been in business?* This field is required.
Less than 1 Year In Business
1+ to 3 years
3+ to 5 years
5+ to 7 years
7 years or more
4
What is Your Current Average Monthly Revenue?* This field is required.
Under $10,000/mo recurring
$10k+ to $20k recurring
$20k+ to $30k recurring
$30k+ to $40k recurring
$40k+ to $50k recurring
$50k+ to $60k recurring
$60k or more recurring
5
Please Tell Us About The State of Your Business* This field is required.
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Customer Acquisition
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Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Avg. Customer Value
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Member Satisfaction
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Personal Freedom
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Customer Acquisition
Avg. Customer Value
Member Satisfaction
Personal Freedom
Not Satisfied
Row 0, Column 0
Somewhat Satisfied
Row 0, Column 1
Satisfied
Row 0, Column 2
Very Satisfied
Row 0, Column 3
Not Satisfied
Row 1, Column 0
Somewhat Satisfied
Row 1, Column 1
Satisfied
Row 1, Column 2
Very Satisfied
Row 1, Column 3
Not Satisfied
Row 2, Column 0
Somewhat Satisfied
Row 2, Column 1
Satisfied
Row 2, Column 2
Very Satisfied
Row 2, Column 3
Not Satisfied
Row 3, Column 0
Somewhat Satisfied
Row 3, Column 1
Satisfied
Row 3, Column 2
Very Satisfied
Row 3, Column 3
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6
How confident are you in your ability to ROI the investment for The Summit?* This field is required.
100%
Very Confident
Good Chance
Not Sure
7
What do you hope to gain from the summit?* This field is required.
8
What Special Skills and/or Experience Can You Bring To The Group* This field is required.The Summit is a mastermind-style event where all will collaborate, give and receive. The ideal mastermind group contains a mix of people with complementary skills. A rising tide lifts all ships and we want to make sure everyone coming is coming to better their peers. You won't be asked to publicly speak. Write some things you would consider strengths for yourself.
9
Email* This field is required.
example@example.com
10
Phone Number* This field is required.
Area Code
Phone Number
11
Are you ready to invest in yourself, your business, and play full out during the event openly and honestly? And are you willing to put in the work and put what you learn at the event into action?
YESNO
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