Empowered Entrepreneur Audit

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

How did you connect with us?* This field is required.

6

If you were referred, by who?

7

Tell us about where you are now. * This field is required.Do you currently have a wellness business? If yes, are you selling products, coaching, or both? If no, are you seeking to start a wellness business or add another side to it such as coaching?

8

Tell us where you would like to be.* This field is required.Where would you like to be with your wellness business in the next year?

9

What is holding you back from being where you want to be right now?* This field is required.Click ALL that apply

feeling stuck or like I don't knowing enough

lacking confidence

misaligned

fear, fear of failure, what others will think, etc

lacking support

overwhelmed

exhausted

broke or feeling financially tapped out

10

Expand on any of the things that are holding you back you feel we should know.* This field is required.