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Execution Coaching Application
Prepare for your breakthrough results
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1
What type of business do you have (or looking to build)?
*
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2
What do you need the most help with?
You can pick more than 1 thing
Balancing and juggling business and life commitments
Setting up tech/marketing systems i.e. auto responders, landing pages, run my business
Systemizing workflow to create better cashflow using automation/AI tools
Closing More Deals
Hiring VA's/Outsourcing tasks to free up my time
Figuring out how build my business so I can quit/leave my "9-5"
Transforming My Image/Persona And Style
Become a Better Networker
Something else
Other
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3
Social Media Instagram Handle
If you use IG for business enter that below
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4
Enter Company Name Below
Enter "n/a" of up you don't have a name yet
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5
What's Your Company Website?
Skip this if you don't have one yet
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6
What's Your Current Monthly Revenue?
Less than $1000 per Month
$1000-$5000 per Month
$5000-10,000 per Month
$10,000-$20,000 per Month
$20,000-$50,000 per Month
$50,000 per Month or More
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7
Describe Your Current Execution Habits...
*
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1 - Extremely UnReliable
2 - Somewhat Unreliable
3 - Meh - Inconsistently Reliable
4 - Very Reliable
5 - Extremely Reliable
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8
Which statements best describe you right now?
*
This field is required.
Feel free to pick more than one
I need coaching and a network of experts who can help me
I need better financial clarity to make better business decisions
I need find the time to put myself first without guilt
I would like to have things running on autopilot
I need a blueprint system to launch/streamline my business
I'm perfect. I have no problems.
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9
In your own words, what's been stopping your business from growing?
*
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Be honest.. Don't hold back!
Huge
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quote
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10
What's Your Monthly Revenue Goal?
*
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$1000-$5000 per Month
$5000-10,000 per Month
$10,000-$20,000 per Month
$20,000-$50,000 per Month
$50,000 per Month or More
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11
To reach that goal, how much are you willing to invest in yourself and business to make it happen?
*
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$2500-$5000
$6000-10,000
$25,000+
$0-$2,500 (you might not be ready for growth yet)
Other
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12
If an expert advised me to grow by investing $2,000 into myself and the right tools to increase revenue, I would...
*
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Understand and accept that it's probably necessary to grow my business
Be intimidated a little bit, but willing to do it to grow my business
Avoid it and keep struggling in search of cheaper solutions
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13
If you discover our blueprint coaching system can help you and your business grow quickly would you like to participate?
*
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1 - Absolutely - Yes, please!
Yes, but I have questions before starting
2 - No. I'm good.
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14
Are You Currently in a Business Coaching Program?
YES
NO
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15
Enter Name
*
This field is required.
First Name
Last Name
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16
Best Email
*
This field is required.
This is where we'll send your call details
example@example.com
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17
Appointment
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18
I agree to show up on time & promise to notify if I can't make it
*
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I Agree
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19
Would you like coaching in getting more meaningful work done in less time?
1 - Yes, absolutely!
2 - No, I don't need any support. Everything in my life is perfect.
3 - Not sure...but I think I could use some help.
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20
DateTime
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21
Date
*
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22
Select the Best Coaching Times for You
Monday 5p EST
Tuesday 5p EST
Wednesday 5p EST
I Need a Different Day/Time
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23
Best Phone Number
*
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For text confirmation and your coaching call reminders
Please enter a valid phone number.
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