NEXT LEVEL Business Coaching/Consulting Client Form
Thank you for taking the first step toward transforming your business with us. We are excited to partner with you and help you navigate the path to success with clarity, purpose, and strategy. Please take a moment to complete the intake form so we can better understand your unique needs, challenges, and goals. This will allow us to tailor our services and approach to ensure that we provide you with the most effective solutions.Our team is dedicated to supporting you as you elevate your business to the next level. Let’s unlock your full potential and make your vision a reality!
PERSONAL INFORMATION
Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Address or Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BUSINESS OR MINISTRY INFORMATION
Business or Ministry Name
Number of Employees
Website Address
Social Media Handles
What is your Business Type? (Please describe the focus, industry, or nature of your business or ministry )
Please Select
Coaching or Consulting
Nonprofit Organization
Faith Based Ministry
Product Based
Service Based
Educational Leader
Other
Please describe your company
What products or services do you offer?
Which stage or phase is your business or ministry in?
Idea Phase – I have a vision but need help launching
Start-Up Phase – I’ve launched but need structure and clarity
Growth Phase – I have consistent revenue and want to scale
Pivot Phase – I’m shifting direction or relaunching
Established – I’ve built a strong foundation and need higher-level strategy
What is your current monthly revenue from your business or ministry?
$0-$2,000 month
$2,000-$5,000 month
$5,000-$8,000 month
$8,000-$10,000 month
$10,000+month
Does your business have a clear vision and mission statement?
Yes
No
What is your ideal client? Please describe them briefly.
What is your primary goal for seeking support?
What challenges are you currently facing in your business, ministry, that is affecting you scaling, funding and/or growing your business or ministry?
What do you typically do when you become “stuck” in running your business?
What are your 3month, 6month and 12 month goals for your business or ministry?
What results are you hoping to achieve by working with Dr. Chemeka Turner-Williams?
Please Select
Formation and Structuring my business properly for sustainability
Clarity on my vision, brand, and business/ministry model
A successful launch or relaunch of my business or ministry
Consistent and scalable revenue
A signature offer or product that aligns with my purpose
Increased visibility, credibility, and brand presence
Systems and automation that save me time and stress
Confidence and boldness as a CEO and leader
Strategic roadmap to grow and scale
Faith-based alignment in my business or ministry journey
Accountability and mentorship to stay focused
Access to a supportive, like-minded community
Business Funding
Mental Wellness Solutions
Other:
Do you have a high value offer or digital products?
Yes, I have an offer/and or digital products.
I am working on creating an offer/ and or product but I am stuck.
No, but I would like create one.
Are you ready to commit and scale to the NEXT LEVEL!?
Yes, I am ready to SOAR to my NEXT LEVEL!!
No, not quite. I would like to schedule a consultation.
This option may not be the best for me but I am interested in another offer.
How did you hear about Dr. Chemeka Turner Williams & Next Level Global Enterprise??
Are you ready to proceed to your NEXT LEVEL?
Yes, I am ready to proceed.
I have a few questions before finalizing. I would like a consultation. (https://calendly.com/info-drchemeka-nextlevel/15min)
Please select an appointment below for the initial assessment or initial meeting
Name
First Name
Last Name
ARE YOU READY TO SCALE, FUND, AND SUSTAIN YOUR BUSINESS/VISION?
Let's go today!
Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: