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19
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1
Name
*
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First Name
Last Name
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2
Company Name
*
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3
Type of Business
*
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Non-Profit
Profit
Non-Profit
Profit
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4
Email
*
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Best email to receive correspondences
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5
Phone Number
*
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Area Code
Phone Number
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6
Have you ever had business coaching before?
*
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Yes
No
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7
1. Why do you feel it was time to partner with a business coach, in priority order?
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8
What area of your business are you looking to improve?
*
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Check all that apply
Marketing
Increase Sales
Branding
Scale-up
Leadership Development
Build a winning team
Launch a new business or service
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9
What are three measurable goals you desire your business to achieve during our session(s).
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SMART Goals, Process Goals, Performance Goals, and, Outcome Goals.
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10
2. What some challenges your are looking to overcome in your business? How are these challenges prohibiting your personal and business growth?
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*Growth is not limited to revenue.
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11
3. How did you hear about our coaching program?
*
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Please Select
Friend or Relative
Website
Event
E-mail
Social Media
Other
Please Select
Please Select
Friend or Relative
Website
Event
E-mail
Social Media
Other
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12
4. As an entrepreneur what are your 3 biggest strengths?
*
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Strengths related to your business
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13
5. As a leader what are some areas you need or desire to develop?
*
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Areas of opportunity to develop into strengths
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14
6. What ideas do you have to help move your business forward?
*
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Your coach will review these and offer suggestions
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15
9. Describe previous action steps taken to grow your business?
*
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brief description
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16
7. Do you have a preferred learning style?
*
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ex: in-person sessions, webinar, conference call, video chat.
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17
8. How long has your business been established?
*
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Just getting started
1-2 years
3-5 years
10+ years
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18
10. On a scale of 1-10 how committed are you to your business success?
*
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1
2
3
4
5
6
7
8
9
10
Somewhat
Extremely
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19
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20
Tags
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In Progress
Done
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