Monthly Mentoring Questionnaire

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Please complete this form in full for the purposes of joining Keeping Balance's Monthly Mentoring.

Email *

What stage are you at with your business? (For the purposes of this question, assume that I don't know anything about you or your business) *

Just starting out, needing some guidance across all areas

Been in business a few years, want to do better & work toward some more goals

Had my business a VERY LONG TIME, want to bring it into 2021 with fresh ideas

Required

Are you involved in more than one BUSINESS? e.g. are you involved in key decision making for more than just YOUR business? *

No - Just 1

Yes - 2 - 3 Business'

Yes - 4 or more (it is possible)

For the purposes of MONTHLY MENTORING we ask that you show up for YOUR business, the one that you are MOST passionate about & that you want to GROW and EXPAND with. What is the name of the Business that you will be working on during these sessions? *

Do you know what you are working towards this year? *

No idea, just trying to get through each day

Got a bit of an idea, but nothing formal

Yes, all over it - goals sorted clear on the vision

Do you employ staff? *

Yes - 1 - 5

Yes - 4-10

Yes - 10 or more

Are you making a living out of your business? e.g. does it partly or fully support you, your family's living expenses *

Yes, I draw a full wage

Trying to, still supplement it with some outside work & income

No, not yet but getting there

What is one KEY area you want to focus on during MONTHLY MENTORING *

In a paragraph, explain to me what your BUSINESS means to you & what you are looking to achieve in 2021. *

In what platform is your preference for a GROUP CHAT throughout the time, for additional support, information or LINKAGES? *

Facebook Private Message Group

Instagram Private Message Group

None, I don't want to chat in-between sessions

What time would you prefer *

Tuesdays 2pm - 4pm (23 Feb, 23 Mar, 27 Apr )

Fridays 9am - 11am (26 Feb, 26 Mar, 20 Apr)

Monthly Mentoring is a paid service, which payment plan would you prefer? *

$300, invoice & payment upfront via direct transfer prior to commencement of three months

$110, payment per month via direct debit which will also incur the fees & charges on the payment plan

By completing this Questionnaire you understand that all information obtained, contained, express or communicated with MONTHLY MENTORING is Confidential in Nature. I understand that the information provided by Keeping Balance Pty Ltd is not to be used, or replicated or taken as my own & shared in any form. I also acknowledge, agree & understand that any information provided during these sessions is intended to be used as a tool and a guide of general nature only and may not be relevant to particular practices, people or circumstances. Persons using this information must exercise their own independent skill or judgment or seek appropriate professional advice relevant to their own personal circumstances. *

I agree

Required

Business Name *

Full Name *

Completed Date *

YYYY

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

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