Name *

First Name

Last Name

Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday *

MM

DD

YYYY

What type of support do you feel you need the most? *

Accountability

Business Scaling

Community

General Guidance

Marketing Strategy

Other

On a scale of 1 to 5, how committed are you to putting in the work required to scale your business? *

1 - Not Likely

2 - Somewhat likely, but I'll need some extra encouragement

3 - Neutral, I may or may not

4 - I'll do most of the work as long as I feel capable

5 - You say jump, I ask how high!

How open are you to receiving and implementing honest, constructive feedback? *

Rip the bandaid off girl!

I can be sensitive at times.

Neutral - might depend on the day

How do you handle changes and disruptions in your business operations? *

I'll change everything if it'll help me hit my goals.

If I have too much to change at once I may get overwhelmed and not do some or all of it.

I HATE change - I've been getting the same Chipotle order of years!

Do you have a team or resources in place to help implement the strategies we will develop? *

Yes, I have an established team.

I would like to build a team.

Solopreneurship FOR LIFE