Business Evaluation Application Form

1

Which of the following best describes your situation?* This field is required.

I have an existing business that I want to scale

I'm trying to get my existing business off the ground

I don't have a business yet, but I want to start one

I have NO interest in starting a buisness

2

What is your name?* This field is required.

First Name

Last Name

3

What is your best email address?* This field is required.

example@example.com

4

What is your desired monthly income?* This field is required.

$10,000-25,000 per month

$25,000-50,000 per month

$50,000-100,000 per month

$100,000+ per month

5

What's the number 1 thing you feel you need help with in order to achieve your income goal?* This field is required.

6

In a few sentences, describe your business... what do you sell, who do you sell to, how much do you charge, etc?* This field is required.

7

How willing and able are you to invest in the success of your business?* This field is required.

I have the financial resources to invest

I can get the financial resources to invest

I have now way of investing in my business right now

8

If you're accepted to work with us, how soon can you get started?* This field is required.

Immediately

Within the next month

In about 1-3 months

In about 3-6 months

Not sure - it could be a while

9

[OPTIONAL] Is there any additional information that you think would be helpful for us to know before the call? If so, let us know below...