Purposed To Dominate Intake Form

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Client Intake Form
This questionnaire contains a series of questions that, if answered truthfully, will help us tell you whether or not you are a good fit for our services .
This is not a free service. All of our premium services would be considered expensive to beginner business owners. Please only fill out this form if you are actively looking for advanced brand consultation services, content, and product help.
Our services include:
- Individuals looking to create a business or current entrepreneurs running a Product or Service-based business.
- Building a personal brand. No flashy images, designs, or gimmicks. just depth and deeper brand authority with an intelligent audience built in.
- Coaches, consultants, creators, and marketers that want to use a personal brand as a powerful traffic mechanism (you don't have to rely on heavy marketing and sales anymore).
- Founders, executives, and leaders of companies that want to build their voice online and bring a positive reputation to both their personal lives and company.

What is your reason for filling out this questionnaire?*

I have a family to support and my current income doesn't cut itI'm a founder, executive, or leader that sees the power in having an authoritative voice online with content creationI'm already creating content but haven't seen great results or it takes too much timeI'm a creator that knows I can improve my knowledge and mindset on how execute on my plans, communicate better, grow faster, and create depth behind my brandI'm super tired of working for other people and want to learn how to leverage my mind to create a brand/business

On a scale of 1 to 3 how overwhelmed do you feel with the amount of work you have?*

1 - Not overwhelmed at all. I'm a task completing machine.2 - I am occasionally overwhelmed. My actions don't always equal results.3 - I don't have enough time in the day with no clear direction.

How many followers do you have on social media?*

0 - 1,000 followers1,000 - 10,000 followers10,000 - 100,000 followers100,000 - 500,000 followers500,000+ followers

Are you confident that you are attracting the right audience? One that will eventually buy from you?*

No, I abused tactics that led to a shallow audience.Yes, I've built depth in my content that creates new customers.

How much mental renovation are you willing to put in over the next 2 months?**

Not much.Some I guess.Whatever is Necessary.I'm All In.

What do you do for work?**

I have a part-time or full-time job.I am a creator that lives off of their product or service revenue.I'm a founder, executive, or leader with a profitable company.I'm a speaker, creator, or marketer that wants to monetize my work.

What is your current monthly income or revenue?*

$1,000 - $10,000 per month$10,000 - $50,000 per month$50,000 - $100,000 per month$100,000 - $1M per month$1M+ per month

How much are you investing each month into your business growth?*

$0 - $500 per month$500 - $7,500 per month$7,500 - $20,000 per month$20,000 - $50,000 per month$50,000+ per month

With the right guidance, how much do you want to add to your monthly income or revenue per month (6 months from now)?*

In your opinion, what is the one thing that is holding you back from reaching that?*

Consistent product sales or clientsSustainable and authoritative growth on social mediaMental clarity, direction, and drive that gets me out of bed in the morningHighly effective brand communication that removes the necessity of long funnels and hard sales

If we see that you can get massive benefits from your services, will you be ready to commit your time, focus, and finances to reach your individual goals?
(If this question makes you uncomfortable, we ask that you do not submit this questionnaire.)*

Yes, I have the finances, time, and energy to commit to a new service.No, I am not ready to utilize this service.

"Work With Me 1 on 1"