Clone of 1:1 Strategy Consultation Intake Form

1
Schedule your 1:1 Strategy Consultation* This field is required.Collaborative One, 360 Brighton Rd, South Croydon CR2 6AL
2
What is your business name?* This field is required.If you have one, please provide it. If you don’t use a trading name, just write your name.
3
In one sentence, what does your business offer?* This field is required.
4
Who do you mainly serve?* This field is required.
Consumers (B2C)
Businesses (B2B)
Public Sector
Charities & CICs
Creatives & Cultural
Other
5
Which best describes your current stage?* This field is required.
Planning / Pre‑start (no trading yet)
Early‑stage (trading < 12 months)
Established (1–3 years)
Scaling (3+ years and growing)
Mature / Diversifying
6
Sectors you operate in (pick up to 2)* This field is required.
Food & Drink
Retail/eCommerce
Creative/Digital
Professional Services
Construction/Trades
Beauty/Wellness
Health & Care
Education/Training
Events
Hospitality
Other
7
Top priorities for the next 12 months (choose up to 3)* This field is required.
Get more customers
Improve pricing & profitability
Build brand & visibility
Strengthen finances & cash flow
Raise funding or investment
Hire first employee
Systemise operations
Launch new product/service
Enter new markets
Other
8
What’s currently getting in the way?* This field is required.
Time
Money
Skills or know‑how
Confidence
Access to customers
Access to finance
Operations or capacity
Other
9
Name* This field is required.
First Name
Last Name
10
Position/Role* This field is required.
11
Email* This field is required.
example@example.com
12
Mobile Number* This field is required.
13
Does your business have a website or social media? (Optional)
14
How is your business set up legally?* This field is required.
Please Select
Please Select
Sole Trader
Partnership
Limited Company
CIC
Charity
Other (please specify)
15
When did you start trading?* This field is required.
Date
Day
Month
Year
16
How many people are in your team (including you)?* This field is required.
17
Roughly how much revenue did you make last year?* This field is required.An estimate is fine.
18
Address* This field is required.
Street Address
City
Zip Code
United Kingdom
Please Select
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Algeria
American Samoa
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Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
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eSwatini
Sweden
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Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
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United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
19
Consent* This field is required.We’ll never share your details publicly. This is just for programme delivery and reporting.
I agree to my data being used to provide business support and report outcomes.
I’m happy to be contacted for follow-up or evaluation.
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