JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Purposeful Planning Program: Application
Please fill out the Questionnaire to help me get to know you and your business better. Once I go over your questions, I'll send you my calendar link to book your call to see if you would be a good fit for this program.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First & Last Name
*
Your answer
Would you like me to add you to my email list for actionable content and updates?
*
Yes
No
What state (or country) & time zone are you in?
*
Your answer
How did you find me?
*
Your answer
What areas do you want to improve? (Check ALL that apply)
*
Time/Calendar/Energy Management
Work-Life Balance (alignment)
Child-free Lifestyle Design
Accountability
Boundaries
Workflows
Paper clutter
Office organizing
Required
What does success look and feel like to you?
*
Your answer
What does failure look and feel like to you?
*
Your answer
Have you ever worked with a Coach or Consultant in a small group setting before?
*
Yes
No
What do you want in a Consultant/Coach?
*
Your answer
What do you want in a course & accountability program?
*
Your answer
If you have worked with a Consultant or Coach before, what
didn't
you like about them? Why?
Your answer
What hesitations do you have, if any? Good or bad, share any fears, hesitations, or excitement you have.
*
Your answer
Why do you want to work with me?
*
Your answer
How do you want your life and business to look and feel after working together for 6 months?
*
Your answer
How much time are you willing to put in between sessions each week?
*
30-45 min a day
1-2 hours a day
As much as needed!
I believe in keeping you accountable, but also lovingly calling you out and pushing you outside your comfort zone. Will this type of Coaching style work for you?
*
Yes, keep me on track
No, I prefer sugar coating
I help Child-free Business Owners. What type of business to you have?
*
Coach/Consultant
Content Creator
Crafter
Other:
Required
Tell me about your business
*
Your answer
What about your business lights you up?
*
Your answer
What phase of your business are you in?
*
Your answer
Is your business part-time or full-time?
*
Part time
Full time
Weekend Warrior
Other:
Are you willing to take consistent action NOW to start achieving the results you want?
*
Yes
No
What is your current monthly income?
*
Less thank $2k
$2k-$5k
$5k - $10k
$10k +
Other:
For fun, tell me about yourself and what your hobbies are.
*
Your answer
Anything you would like to add? (optional)
Your answer
Thank you! I'll look this form over and see if we'd be a good fit. I'll get back to you within 24 hours M-F.
Thank you for your time! <3
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
