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10
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1
Name
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Tell us who you are!
First Name
Last Name
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2
Email
*
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So we can send you all the details about the workshop
example@example.com
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3
Phone Number
*
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Area Code
Phone Number
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4
How many employees do you have?
*
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1 (just you)
2-9
10-24
25-49
50-100
100+
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5
What's your approximate annual business revenue?
*
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Under $100k
$100-250k
$250-500k
$500k - $1mil
$1-5mil
$5-10mil
$10-25mil
$25-50mil
$50-100mil
$100mil+
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6
What's your role at the company?
*
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Solopreneur / freelancer
Owner / Founder / CEO
Other C-level
VP/Director
Other
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7
What common business issues worry you most right now?
*
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Check all that apply
Cash flow uncertainty
Finding new customers
Retaining existing customers
Recruiting great talent
Retaining existing talent
Market & economy concerns
Getting customers to buy
Wearing too many hats
Long hours / overworking
Psychological toll
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8
Which of these actions would strengthen your business?
*
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Check all that apply
Pinpoint and dominate the specific audience you’re obsessed with serving to become absolutely indispensable.
Craft a unique, game-changing product or service that directly tackles your audience’s real needs.
Paint a vivid, compelling vision of how your product profoundly transforms your customers’ lives.
Boldly stake out a unique and unshakable position in your audience’s minds that sets you apart from all competition.
Unite with your customers over a powerful mission to turn business transactions into deep, lasting connections.
Embed your genuine values into every facet of your business to resonate deeply and powerfully with your customers.
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9
How motivated are you to make positive changes in your business?
*
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I'm very HIGHLY motivated to make changes that will drive more business
I'm pretty motivated
I'm somewhat motivated
I'm only slightly motivated
Everything's fine now so I probably won't change anything
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10
How much of an impact could this workshop could make on your business
*
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This is going to be HUGE for us, and I need it right now!
This is going to help a LOT
This will probably help some
I don't know, it might help, I guess?
It's not going to help
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11
Final Score
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12
Variation
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