Free Business
Coaching Application
First Name
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Last Name
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Phone
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Email Address
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What is the name of your business?
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What is the nature of your business / work? i.e. service / product/ trainer / practitioner?
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What are the top 3 goals for your business in the next 12 months?
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On a scale of 1 to 10 if 10 was your goal accomplished, where do you believe you currently are?
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What are the top challenges or obstacles you are experiencing in making progress toward your goals that you cannot overcome on your own?
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On a scale of 1 to 10, how committed are you to achieve your goals? (1 is extremely low - 10 is absolutely committed)
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What is the total amount of sales you have made in your business, in the last 12 months?
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Have you had coaching for this before?
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Yes
No
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