JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2021 End-Of-Year Survey
Thank you for completing this survey! This is entirely for my own market research. As a thank you, I’ll send you a free guide to help you reflect on 2021 and create goals for 2022.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Do you follow me on Instagram and watch my stories?
*
Yes
No
Do you like to plan ahead?
*
Yes
No
Are you consistent in how you show up for your business?
*
Yes
No
Do you believe that your business’ messages and communication is a direct reflection of who you are and what you stand for?
*
Yes
No
Do you feel that you can improve your business’ messaging and the way in which you show up?
*
Yes
No
Is there something you wish you could overcome as it relates to showing up for your business?
*
Your answer
In one word or phrase, what do you hope to feel or actualize in 2022?
*
Your answer
Could you benefit from regular business coaching and guidance?
*
Yes
No
Would you be interested in affordable mini coaching offerings (such as workshops, challenges, bootcamps, a subscription)?
*
Yes
No
Any answers you want to elaborate on?
*
Your answer
Optional: What is one thing you love learning from me or one area in particular in which you believe I shine?
Your answer
Thank you for completing this application! Please click SUBMIT and then Christina will be in touch with you within 24 hours.
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Christina Giordano Consulting, LLC.
Report Abuse
Forms
