Client Intake Form

The 1% Code For Self Wealth & Salon Business Expansion - New Client Intake Form

Congratulations, you have been accepted into The 1% Code! The journey to growing your business to 7-figures and beyond has well and truly started. Please fill in all sections as accurately as possible - this will take time but is very important for us on your journey to becoming an unstoppable Salonprenuer! Once completed you will be able to begin the program.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Your Details
Salon Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Instagram Profile*
Website URL
Goals & Current Stage of Business
What are your top 3 goals for joining the 1% Code? Please be specific and provide measurable goals (e.g. Get revenue to 500K)*
Average revenue from the last 3 months?*
Please upload your P&L statement for the last 3 months

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How would you rate your Sales on a scale of 1-5? 1 being poor and 5 being amazing*

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1 is Worst, 5 is Best
How would you rate your Marketing on a scale of 1-5? 1 being poor and 5 being amazing*

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5

1 is Worst, 5 is Best
How would you rate your Systems & Processes on a scale of 1-5? 1 being poor and 5 being amazing*

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1 is Worst, 5 is Best
Are spending more time working IN vs ON your business right now? (IN - meaning working on clients, managing the day to day operations etc) or (ON - meaning working in ways to grow your business; team training, systemising, marketing, reaching new people.*

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How many team members do you have?*
If you have team, list their names, roles, and how many hours they work a week below
How would you rate your team's ability to run the business without you in it? 1 being "all hell would break loose" and 5 being "I could take off a month and my business would thrive"

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1 is Worst, 5 is Best
How many enquiries do you receive each month in your business?*
How many new clients do you receive each month in your business?*
Which marketing channel would you say would be most responsible for your revenue? (Where do most of your clients come from)*
How many subscribers are of your email list?*
How long have you been in business for?*
How did you hear about the 1% Code Mentorship?*
What is your biggest weakness as a Salonpreneur?*
What's your biggest strength as a Salonpreneur?*
What is your personality type? Take the test here: https://www.16personalities.com/free-personality-test
How would you describe your emotional resilience of a scale of 1 - 5? (1 being cries often when things are hard and 5 being nothing bothers you)*

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1 is Worst, 5 is Best
Do you track your KPI's weekly or monthly?*

WeeklyMonthlyNot tracking
I understand that the 1% Code Mentorship is a curriculum based coaching program, I am expected to complete all modules and build the required systems in my business without hand holding - we will support you on the group calls when you get stuck, but you need to do the work and use initiative to complete the tasks. You get out what you put in.*

I understand
I understand that in order to get a result in my business, i need to work hard - without hard work i will not get results and will be unsuccessful - the quality of my life depends on my efforts over time.*

I understand
I understand that is my responsibility to ask for help when I need it, the coaching team are not mind readers and don't know where I'm stuck or not moving forward*

I understand
I understand that I may not have the required skills right now but if I apply myself and learn, I will learn the skills and can move forward with business success.*

I understand
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The 1% Code For Self Wealth & Salon Business Expansion - New Client Intake Form

Your Details

Goals & Current Stage of Business