EPIC Business Coaching Intake Form

In order for us to get the most out of our time together, below is a short questionnaire for you to complete.    


Email *
Name and or type of Business *
What are you looking for?
(you can choose more than one)
 *
Required

What does current success looks like for you?

(you can select more than one)

 *
Required
What are the top three things that you would like to work on?
 *
Do you actively use a structured business plan? 
Clear selection
Do you have a delegated roles and responsibilities chart?
Clear selection
Do you have company meetings on a regular basis? (even if it's with yourself)
Clear selection
Do you have specific company goals and goal tracking in place?
Clear selection
Do you plan on hiring additional employees?
Clear selection
Do you actively use a marketing plan?
Clear selection

Where would you like your personal and business life to be:

3 months from now? 

3 years from now? 

 *
What obstacles, challenges do you struggle with regarding your business?  
 *


What do you consider your greatest strengths to be?


What do you consider your obstacles/weaknesses to be?

What tasks or things drain your energy?
What tasks or things light you up?
Why are you in business? *
What has surprised you about being in business?
We'd love to hear how you first heard about epic business coaching.  *
Any other thoughts or comments you would like to share with us that would be helpful in understanding what you want your future to look like, what types of support systems you benefit from, how you would like your business to be structured, etc.? 
A copy of your responses will be emailed to .
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