Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Business Name *What are your top 2 desired outcomes for your business at the end of this 4 month class? *What are your top 3 desired outcomes for your life and/or business within the next 3 years? *Have you worked with a coach, been in a mastermind before, or had a similar relationship (mentor, coach, therapist). If so, what worked well for you, and what didn’t work in the relationship? *On a scale from 1-10, how happy are you with your life right now? What are the things that make you happy? *On a scale from 1-10, how honest do you want me to be with you? 10, meaning brutally honest and 1, meaning sugar coat everything. *What three words would you use to describe your ideal coach? *What’s currently holding you back from achieving your goals? Be honest. *What type of lmarketing does your company primarily rely on? (i.e: word of mouth, online, referrals, traditional marketing, cold calls, etc.) *What else would you like to share with me? *How many people do you currently employ and what roles do they fill? *When is your birthday? *Based on the last 12 monthsSingle Line TextSingle Line TextWebsiteSubmit Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Business Name *What are your top 2 desired outcomes for your business at the end of this 4 month class? *What are your top 3 desired outcomes for your life and/or business within the next 3 years? *Have you worked with a coach, been in a mastermind before, or had a similar relationship (mentor, coach, therapist). If so, what worked well for you, and what didn’t work in the relationship? *On a scale from 1-10, how happy are you with your life right now? What are the things that make you happy? *On a scale from 1-10, how honest do you want me to be with you? 10, meaning brutally honest and 1, meaning sugar coat everything. *What three words would you use to describe your ideal coach? *What’s currently holding you back from achieving your goals? Be honest. *What type of lmarketing does your company primarily rely on? (i.e: word of mouth, online, referrals, traditional marketing, cold calls, etc.) *What else would you like to share with me? *How many people do you currently employ and what roles do they fill? *When is your birthday? *Based on the last 12 monthsSingle Line TextSingle Line TextPhoneSubmit