Apply Consultation Request Please complete the following questions and submit them to apply for a consultation. Once I receive your application, I'll be in touch regarding scheduling. I look forward to connecting further! Rachna Date MM slash DD slash YYYY Name First Last Email PhoneWebsite Tell Me About Your Business: What Do You? Who Do You Help?*Approximately How Much Did You Earn Last Year?* $50,000 or less Between $50,000-$75,000 Between $75,000-$100,000 $100,000-$250,000 $250,000 or more What Are Your Strengths as a Person and Business Owner?*Where Do You Feel You or Your Business Could be Doing Better?*What Are Three Goals You'd Like to Reach in the Next 90 Days?*What kind of monthly budget do you have to reach these goals?* $500 or less each month $500-$1000 each month $1000-$2500 each month $2500-$4000 each month more than $5000 per month What Do You Feel I Might Be Able to Help You With?*What Questions Do You Have For Our Meeting?How Did You Hear About Me or Find Me?*Anything Else You'd Like to Share?