Pre-Application Survey for the Entrepreneur's Success Path Mentorship

Pre-Application Survey for the Entrepreneur's Success Path Mentorship
Welcome to the Entrepreneur's Success Path Mentorship Program Application!

I appreciate your interest in joining our program, designed exclusively for dedicated women entrepreneurs and small business owners ready to take their businesses to the next level. This application process helps us ensure that our mentorship aligns with your goals and aspirations and that we can provide the guidance and resources needed to support your journey.

Please take a few moments to complete this thoughtful survey. Your responses will help us understand your vision, challenges, and commitment, helping us determine if this program is the right fit for you. We look forward to the possibility of partnering with you to create meaningful progress in your business.
Personal & Business Background
Your Name:*

First NameLast Name
Email:*
example@example.com
Phone Number*
Please enter a valid phone number.
Business Name (if applicable):*
*If you haven't registered your business, put none.
Business Industry/Category:*
(e.g., Retail, Service, E-commerce, Consulting, etc.)
Briefly describe your business or business idea:*
How long have you been in business?*

Just getting startedLess than 1 year1-3 yearsOver 3 years
Vision & Goals
What inspired you to start or consider starting your business?*
What is your ultimate vision for your business?*
What are your top 3 business goals over the next 6 months?*
Current Challenges
What is the biggest challenge you are currently facing in your business?*
Have you previously sought guidance or mentorship for your business? If yes, briefly describe your experience.*
Which areas do you feel you need the most support with? (Select all that apply)*

Business StrategyBranding & MarketingOperations & SystematizationScaling & GrowthPersonal Development & Mindset
Commitment & Readiness
How much time can you commit to working on your business each week?*

Less than 5 hours5-10 hours10-20 hours20+ hours
Are you prepared to invest financially in your growth and success?*

Yes, I’m ready to invest in myself and my business.I’m open to investing but need more information.I’m unsure about investing right now.
On a scale of 1-10, how committed are you to making this program a priority?*
How would you describe your level of self-motivation and accountability?*

Highly self-motivated and accountableModerately motivated, but need accountability supportI struggle with motivation and need a lot of accountability
Mindset & Values
What do you believe is your biggest personal strength that will help you in this program?*
What areas of personal growth are you working on or want to improve?*
Why do you believe mentorship is essential for your success?*
What are your expectations from this mentorship program?*
Financial Goals & Expectations
What are your income goals for the next 12 months?*
Have you set aside a budget for business growth, such as mentorship, marketing, or scaling?*

YesNo
Additional Information
What questions or concerns do you have about this mentorship program?*
Anything else you’d like us to know about you or your business?*
Thank you for completing the survey. We will carefully review your responses to assess if you’re a good fit for the Entrepreneur's Success Path Mentorship Program. If we determine that this program aligns with your goals and needs, you will receive an email with the next steps to proceed. We appreciate your interest and look forward to the possibility of working together.

To your prosperity,

Simone Renee, H., MBA
Business Strategist | Mentor
Brand Within You, LLC
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Pre-Application Survey for the Entrepreneur's Success Path Mentorship

Personal & Business Background

Vision & Goals

Current Challenges

Commitment & Readiness

Mindset & Values

Financial Goals & Expectations

Additional Information