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INITIAL "BUSINESS BREAKTHROUGH" QUESTIONNAIRE

Your completing this questionnaire will enable us to maximize your time during the coaching session.

Please answer the brief questions below and click "submit" to send.

1. Date Questionnaire Completed This question requires a valid date format of MM/DD/YYYY.

calendar

2. Do you feel alone in your business? *This question is required.

3. Do you feel that your company is maximizing its revenue potential? *This question is required.

4. Do you feel your employees love coming to work every day? *This question is required.

5. Do you feel that you have implemented the systems and processes within your organization that help maximize the efficiency of your employees? *This question is required.

6. Do you have a vision and sustainable business model that guarantees your company will generate the same level of revenue year after year? *This question is required.

7. What are your revenue goals for the next 12 months? *This question is required.

8. What kind of product/service do you provide? *This question is required.

9. What are the three highest priorities, goals, or challenges you want to address in your company? *This question is required.

10. Check off the areas you'd most like to work on.... *This question is required.

One-on-One Entrepreneur Coaching
Group Coaching
Business Peak Performance Assessment
Investment Capital or Business Financing
Business Plan
Pro Forma
Pitch Deck
3 to 5 Page Investment Summary
Other - Write In Please enter an 'other' value for this selection.

11. Company Name *This question is required.

12. Website Address *This question is required.

13. Your Name *This question is required.

14. Your Title *This question is required.

15. How long have you been an Owner or Executive Manager of your company? *This question is required.

16. How many employees work with your company? *This question is required.

17. Email Address *This question is required.

18. Phone # *This question is required.

19. How did you hear about us? *This question is required.

20. Time Zone *This question is required.

21. Please provide a minimum of 3 days and times that are most convenient for you to schedule your “Business Breakthrough” Coaching Session. *This question is required.

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