Intake | Profitable Popularity

Intake

Please complete the following questions as thoroughly and completely as you can. Once you do, someone from my office will be in touch regarding scheduling. I look forward to connecting further! Rachna

Date
MM slash DD slash YYYY
Name
First Last
Email
Phone
Website
Tell Me About Your Business: What Do You? Who Do You Help?*
What is the biggest challenge you're having in your business at this time that led you to contact me?
What Are Your Strengths as a Person and Business Owner?*
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
Where Do You Feel You or Your Business Could be Doing Better?*
Have you worked with a business consultant before? If so, please tell me about your experience(s).
What Are Three Goals You'd Like to Reach in the Next 120 Days?*
When you think about the type of business assistance you'd most like to receive, would it be:
- Coaching/Consulting
- Done for you Services
- A mix of both consulting and done for you services
What Questions Do You Have For Our Meeting?
How Did You Hear About Me or Find Me?*
Anything Else You'd Like to Share?