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Coaching Intake Form
Thank you for joining Breezy Business Coaching! Please complete this form to allow us to better understand you and your business needs. You will receive a response within 24 business of submission. Please contact us if you have any questions or concerns.
Thank you!
Bria Sharay
(901) 300-9473
Info@BeWiseForever.com
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Full Name
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Your answer
Email
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Your answer
Phone Number
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Your answer
How did you hear about Breezy Business Coaching?
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Facebook
Instagram
Google / Yelp
Other
Are you currently an entrepreneur in the first 3 years of business?
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Yes
No
If so, please briefly describe your business. (start date, product/service, target market etc.)
Your answer
What is/was your motivation for starting your business?
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Your answer
Please describe your current work/home life balance.
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Your answer
Do you have any roadblocks or concerns in any areas of your business?
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Your answer
Please list 3 business goals.
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Your answer
What is your business revenue to date?
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I have not started selling
$1-$500/month
$501-$1,000/month
$1,001-$5,000/month
$5,000+/month
Are you aware that being a business owner affects every aspect of your life?
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Yes
No
Are you able to commit to the meetings, open to receive feedback and agree to take the steps needed to grow your business?
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Yes
No
Other:
What date are you looking to begin coaching sessions? (1-on-1 or Group Coaching)
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Your answer
What is your current availability for coaching sessions? (days, times, etc.)
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Your answer
Is there anything else Bria should know about?
Your answer
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