Private Client Intake
Please complete this short form below to give Aisha information about you and your business, and apply for a free consultation with her, to explore what you can create together
Name
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First Name
Last Name
Your email
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Booking notifications will be sent to this email
Which program are you interested in
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Quantum Alchemy (1:1 for personal healing)
Quantum Biz Alchemy (1:1 mentorship—private, fully customized healing and Mentorship for Business leaders)
Other (Please specify below)
Please share details of your business—what kind of business do you have? Who do you help?
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What are you offering in terms of your services? Please share price of the individual services/products you offer
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What are your biggest challenges when it comes to growing your business to 6, multi six-figures and more? Think about top 3 areas you need immediate help with and list below
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Sales for the past year (USD)
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Sales goal for the next year (USD)
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Why do you think you haven't reached that goal yet?
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What would you like to focus on in the next 6-12 months if we go ahead with working together (list 3 outcomes)?
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Investment acknowledgement
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The investment to work with me starts at $15k for Quantum Biz Alchemy and goes up to multiple 5 figs, depending on the duration of the services agreed upon. There are always customized payment plans and subscriptions offered to facilitate ease for the clients, which can be discussed on our preliminary call. Please check the box to confirm that, while there is no obligation, you understand the level of investment required and that you are in a position to finance your decision should you decide to step into one of my bespoke programs.
Any specific questions you'd like to ask or anything else you’d like to share?
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