BUSINESS MINDSET & VISION CLARITY FORM
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about this program?
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Please Select
Referral
Instagram
Facebook
TikTok
Website,
Other
IDENTITY & SELF-AWARENESS
Describe who you are becoming as a business owner.
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What fears, habits, or beliefs have slowed you down in the past?
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PURPOSE & WHY
Why do you TRULY want to become a business owner?
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If you quit or fail, what is the REAL cost to you?
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Who will benefit from your business besides you?
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WHO, NOT HOW (CEO THINKING)
What kind of leader do you plan to become?
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List 3 strengths you already have that help your business.
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List 3 weaknesses that you are aware of.
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List 3 roles or people you believe your business will eventually need (examples included).
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Who already has the results you want and why do you admire them?
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TARGET AUDIENCE + PROBLEM SOLVING
Who do you want to serve and why THEM?
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What main problem will your business solve?
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How do you want customers/clients to FEEL after working with or buying from you?
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FUNDING MINDSET + RESOURCE ALLOCATION
Imagine you received different funding amounts. Tell us how you would allocate it — not wishfully, but strategically.
If you received $30,000, how would you allocate it? (list or break down by %)
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If you received $10,000, how would you allocate it?
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If you received $5,000, how would you allocate it?
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If you received $3,000, how would you allocate it?
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If you received $1,000, how would you allocate it?
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EXECUTION & COMMITMENT
What standard will you now operate by as a CEO?
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What habits will you START doing immediately?
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What habits will you STOP or reduce?
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What date will become “Day One” of your business identity shift?
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Write your personal declaration (1–3 sentences).
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AGREEMENTS
I agree to the following:
Type a question
I will replace excuses with execution
I will communicate + complete assignments
I will think like a CEO, not a hustler
I understand clarity is part of the work
I am building a real business, not a trend
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