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Full Name

Age

Phone Number

Company Name

Company Website

Type of Business

What caused you to reach out to me?

Tell me a little about your stage of life (married, family, children, etc)

What is your current organization and your role in it? How long have you been leading?

How many employees does your organization have? How many do you personally oversee?

What's your company's annual revenue?

What's your company's operating profit (earnings after subtracting operating expenses from the gross profit)?

Who were you referred to me by? (if applicable)

What is a current challenge, problem, unrealized dream, or major decision you are facing that you would like help with? What results are you looking to get in the next 6-12 months?

What have you tried in the past that has not worked?

How committed are you to your success and the success of your company? Are you willing to come to each and every call ready to grow and applying what you learn?

Who will be paying for the coaching?

Are you ready and willing to make a financial investment in the future growth of yourself and your company or organization?

Yes!

No, not at this time

I will be in touch shortly. Is there anything else you would like to say or add that would be important for me to know?

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