Coaching Program Application
Name
*
First Name
Last Name
E-mail
*
example@example.com
What's your best phone #, and can I text you?
*
What's your best phone number?
*
Please enter a valid phone number.
Format: (000) 000-0000.
Can we send you text messages for notification purposes?
*
Yes
No
Do you have a website? If so, please include the link
Company Name
Do you work another full-time job?
*
Yes
No
How many years have you been in business?
*
Just starting out
0-1 Years
1-5 Years
5+ Years
In a few paragraphs or less, please tell me about your business or prospective business. What is your product or service, and who is your target audience/customer?
*
What are the biggest obstacles/challenges you are facing with either your business or getting your business started?
*
What do you need help with?
*
I want your help to grow my email list
I want your help to create a product or service
I want your help to launch a product
I want your help with my clients (reviewing test results, creating protocols, etc.)
Other
What else can I help you with?
What was your total net profit last year? What do you hope to make this year?
Do you currently have an email list? If so, how many subscribers do you have and how often are you emailing them?
Which email service are you currently using (i.e. Aweber, Mail Chimp, Infusionsoft)?
Tell me about you personally... what should I know?
*
Do you have any questions or curiosities for/about me?
Are you ready to start and/or grow your coaching practice now?
Do you have imposter syndrome, fears, and/or money blocks about your self-worth?
Submit
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