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Application for Business Coaching

Congrats! You're one step closer to launching your business! 

It is my goal to maximize our time together and to ensure you receive an experience customized to your needs.

This assessment will provide me with the insight necessary to provide you with the best coaching experience as we embark upon the ambitious journey of entrepreneurship.

Please answer the questions below and on the following pages to the best of your ability. After you click submit, we will both receive a copy of your responses.

Click the button below to start.

Start

Demographic details

This section will be used to gather details specific to your demographic.

Question 2 of 20

Your Full Name?

Question 3 of 20

Your email address?

Question 4 of 20

What country do you live in currently?

Question 5 of 20

What city and state do you live in currently?

Question 6 of 20

What is the best phone number to contact you, including area code?

Question 7 of 20

What is your date of birth?

Question 8 of 20

What is your current occupation?

Question 9 of 20

How would you classify your current occupation role?

A

Individual Contributor

B

Senior level leader

C

Executive level leader

D

Entrepreneur/Business Owner

E

Side Hustler

Question 10 of 20

Briefly describe how you heard about my coaching services and why you'd like to have a strategy session with me?

Business Endeavor

This section will be used to gather details about your interests in entrepreneurship. Answer all questions to the best of your ability.

Question 12 of 20

Do you currently have an active business?

A

Yes

B

No

Question 13 of 20

How many years have you business been open and generating revenue?

A

0 - 5 years

B

6-10 years

C

10+ years

D

Not Applicable

Question 14 of 20

What inspired you to consider expanding your impact beyond your corporate role into entrepreneurship?

Question 15 of 20

Tell me about your journey so far? What has been you most significant career achievement and how do they align to your entrepreneurial aspirations?

Question 16 of 20

Do you have any previous entrepreneurial experience or projects you've undertaken?

A

Yes

B

No

Question 17 of 20

Entrepreneurship often involves risk-taking and decision making under uncertainty. How comfortable are you with these aspects?

A

I'm very comfortable

B

I'm comfortable

C

I'm somewhat comfortable

D

I'm not comfortable at all

Question 18 of 20

What are your expectations of our business coaching program? How do you think it can support you in achieving your entrepreneurial goals?

Question 19 of 20

Can you identify any potential challenges or roadblocks you might face in your entrepreneurial journey? How do you plan to overcome them? 

Question 20 of 20

What does success look like for you as an entrepreneur? Where do you see your business in the next 5 years?

Confirm and Submit