Work with Katie

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Unique ID
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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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What is your Instagram handle?* This field is required.
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Have you coached with Katie before, in any capacity?* This field is required.
Yes
No
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How did you hear about Katie?* This field is required.
Instagram
Facebook
LinkedIn
Internet Search
Podcast
Referral
Other
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If you heard about Katie from a friend, who referred you?We'll only reach out to say thank you with your permission
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Why do you want to be coached and mentored by Katie?Please be specific. What is most appealing?
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Do you prefer to be coached 1-1, within a group or both?* This field is required.
Privately
Group
Both
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Do you own your own business, currently?* This field is required.
Yes
No
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Tell me about your business - What do you do? Be as specific as possible!* This field is required.Share your website, too!
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Over the past 6-12 months, is your business revenue...* This field is required.
Increasing
Decreasing
Staying the Same
Unpredictable
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How much revenue are you making per month, on average?* This field is required.In USD only please
Under $5000
$5000 - $10000
$10000- $15000
$15000 - $25000
$25000 - $35000
$35000+
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How much money are you profiting each month, on average?* This field is required.In USD only please
I have NO idea, Katie!!
less than 10%
10% - 30%
30% or more
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How often are you in your head about your life and/or business?* This field is required.
ALL THE TIME - I’m losing sleep over it!
More than I’d like - I feel like I’m thinking too much and not doing enough
Average - I feel balanced in this department
Rarely - I will get in my head sometimes, but it doesn't impact me that much
Never - I don't get in my head at all
Other
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If you feel like you're thinking about work more than you'd like to, what's causing you to feel that way?* This field is required.Check all that apply
I feel like I'm good at what I do, but don't really know how to run a business
I'm working ALL the time & want to spend more time alone or with family & friends
I feel like I'm not doing enough to grow & feel like I'm not as far along as I'd like to be
I need to hire someone, but have no idea what I'd even give them
I'm so busy that I'm not getting to gym or doing as much self care as I'd like or need to
I can't predict my income
After my busy season, I'm so exhausted and drained that I can't get to the things I want to
I need more structure and to be more organized in my business
Other
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When you feel overwhelmed, what is your go-to reaction?* This field is required.Check all that apply
I focus and respond to things as best as I can.
I panic and do as much as I can, even if it's not good for me.
I shut down and don't do anything: emails are unread, texts are unanswered.
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Check off what you have or don't have set up in your business* This field is required.Don't buy or set anything up until we speak please
It's set up
Not Yet
N/A
Hired Virtual Assistant
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Hired Employees
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Have a Bookkeeper or Software
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Formed LLC or Sole Proprietorship
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Registered with the State I live in
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Have a business bank account
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Business & personal expenses are separated
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Liability Insurance
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Website
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Website legal documents (privacy policy, etc.)
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Other legal documents based on what you do
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Client Management System
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Project Management System
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Client Inquiry emails are setup
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Hired Virtual Assistant
Hired Employees
Have a Bookkeeper or Software
Formed LLC or Sole Proprietorship
Registered with the State I live in
Have a business bank account
Business & personal expenses are separated
Liability Insurance
Website
Website legal documents (privacy policy, etc.)
Other legal documents based on what you do
Client Management System
Project Management System
Client Inquiry emails are setup
It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
Row 5, Column 2
It's set up
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Not Yet
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N/A
Row 6, Column 2
It's set up
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Not Yet
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N/A
Row 7, Column 2
It's set up
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Not Yet
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N/A
Row 8, Column 2
It's set up
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Not Yet
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N/A
Row 9, Column 2
It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
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It's set up
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Not Yet
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N/A
Row 13, Column 2
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What are things that are NOT working well in your business?* This field is required.Be as specific as possible
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What are things that are working well in your business?* This field is required.Be as specific as possible
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What business goals do you want to accomplish in the next 12 months? * This field is required.What are we celebrating that you’ve achieved through our coaching?
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What personal goals do you want to accomplish in the next 12 months? * This field is required.What are we celebrating that you’ve achieved through our coaching?
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What's working in your personal life and what's not working, right now?* This field is required.
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How often do you experience any of these symptoms?* This field is required.
Frequently
Sometimes
Rarely
Overwhelmed
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Numb
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Procrastination
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Low motivation
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Brain fog
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Stuck
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Irritability
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Anxiousness
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Overwhelmed
Numb
Procrastination
Low motivation
Brain fog
Stuck
Irritability
Anxiousness
Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Rarely
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Frequently
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Sometimes
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Sometimes
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How often do you experience any of these physical symptoms?* This field is required.
Frequently
Sometimes
Rarely
Headaches
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Hard time falling asleep/staying asleep
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Fatigue
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Diarrhea or Constipation
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Acne
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PMS, painful or heavy cycles, hot flashes
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Low sex drive or trouble reaching orgasm
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Nausea/Heartburn/Upset Stomach
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Pain (muscle, joints, etc.)
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Headaches
Hard time falling asleep/staying asleep
Fatigue
Diarrhea or Constipation
Acne
PMS, painful or heavy cycles, hot flashes
Low sex drive or trouble reaching orgasm
Nausea/Heartburn/Upset Stomach
Pain (muscle, joints, etc.)
Frequently
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Sometimes
Row 0, Column 1
Rarely
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Frequently
Row 1, Column 0
Sometimes
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Rarely
Row 1, Column 2
Frequently
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Sometimes
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Rarely
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Frequently
Row 3, Column 0
Sometimes
Row 3, Column 1
Rarely
Row 3, Column 2
Frequently
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Sometimes
Row 4, Column 1
Rarely
Row 4, Column 2
Frequently
Row 5, Column 0
Sometimes
Row 5, Column 1
Rarely
Row 5, Column 2
Frequently
Row 6, Column 0
Sometimes
Row 6, Column 1
Rarely
Row 6, Column 2
Frequently
Row 7, Column 0
Sometimes
Row 7, Column 1
Rarely
Row 7, Column 2
Frequently
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Sometimes
Row 8, Column 1
Rarely
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What did you like about your experience with business coaching/courses in the past? Did you feel like anything was missing?
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What else should Katie know about you to provide the best coaching experience and support?
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Imagine it's a year from now—what are we celebrating that you’ve achieved through our coaching?* This field is required.
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What specific questions do you have for Katie about coaching?
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