Success and Accountability Coaching Application

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My goal is to ensure your goals are SET and MET, so share with me about your business and your goals and we'll explore if this is a great fit!

Email *

What's your name? *

Best phone number to reach you at? *

Preferred method of contact *

Phone - texting

Phone - call

How many years have you had your business? *

If you have more than one business, please answer this regarding the one you plan to talk about the most with me

0-2

3-6

How much net revenue are you bringing in annually? *

If you have more than one business, please answer this regarding the one you plan to talk about the most with me

$0-$100,000

$100,001-$499,999

$500,000-$999,999

$1,000,000+

What feels like your biggest pain point right now? *

Team (i.e. hiring new members, communication issues)

Scaling (i.e. hit a plateau in growth)

Not enough clients

No one to sound board with

Feeling like you're "stuck" in a role you don't want to be in

Other:

Required

What's your industry? *

If you have more than one business, please answer this regarding the one you plan to talk about the most with me

Real Estate

Finance

Technology

Retail

Coaching

Petroleum

Healthcare

Other:

How would you rate your physical health habits (nutrition and fitness-wise)? *

It's definitely a priority in my life

I'm pretty good - some room for improvement

Hit or miss - I tend to go in waves with it

It's not a priority for me - too many other things to focus on

How well do you receive direct feedback? *

I welcome and encourage it - help me grow!

Pretty well - as long as it's delivered on the gentler side

I only want feedback that's positive

Keep it to yourself

Have you ever worked with a business-related coach before? *

Yes

No, this will be my first time

If you answered "Yes" above, please share with me what had you step away from working with them further? *

There's no judgement here - the more transparent you can be, the better I can support! What worked? What didn't work? What did you like/not like? etc...

What is the #1 thing you would like to accomplish during our time working together? *

I am inviting you to BE with this question, and respond with something more than "I'm not sure." You are filling out this application for a reason - what's that reason? ;)

Are you ready to invest in your success? *

Yes, absolutely - Let's do this!

I'm not sure if this is the route I want to take or not - curious to find out

Not at this time, but it was helpful to go through these questions! I already have more clarity than when I started!

How did you hear about me? *

A copy of your responses will be emailed to the address you provided.

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