It's important for us to understand where you are in your life right now and what your goals are so we can help you make the right decision today. So please complete the form below to the best of your ability.
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First Name
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Last Name
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Email
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Phone Number
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Company Name
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Manufacturing
Services
Retail
Technology
Other (Specify)
1. What sector does your business operate in?
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Financial management
Team dynamics
Scaling
Customer retention
Innovation
Competition
Digital transformation
Other (Specify)
2. List your top three business challenges.
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Can you please specify one of your
top business challenges?
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Innovation
Operational efficiency
Customer relationships
Financial stability
Brand reputation
Other (Please specify)
3. What are the core strengths of your business? (Select up to three)
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Can you please specify one
core strengths of your business?
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Increase revenue
Expand market
Develop team
Launch products/services
Improve efficiency
Enhance customer experience
Other (Specify)
4. What are your primary goals for the next year? (Select up to three)
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Can you please specify
one of your primary goals you have for next year?
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Communication
Strategic planning
Team motivation
Decision making
Time management
Conflict resolution
Delegation
Other (Specify)
5. Which leadership skills are you looking to enhance? (Select up to three)
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Can you please specify
which leadership skill you are looking to enhance?
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Revenue growth
Profit margin
Cash flow
Acquisition cost
Customer value
ROI
Other (Specify)
6. Which financial metrics are you prioritising for the upcoming year? (Select up to three)
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Can you please specify
which financial metrics are you prioritising?
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Very well
Moderately
Somewhat
Not at all
Other (Specify)
7. How well do you understand your customers' needs and expectations?
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Can you please specify what you
want to improve?
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Market diversification
Digital marketing and online presence
Customer loyalty programs
Cost reduction
Product/service innovation
Other (Please specify)
8. What key strategies are currently employed in your business? (Select up to three)
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Can you please specify
what key strategy is currently employed in your business?
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Select...
Yes
No
9. Have you worked with a business coach or consultant before?
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If yes, what
was your experience?
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Strategy development
Skill building
Accountability
Personal growth
Challenge navigation
Balance improvement
Other (Specify)
10. What specific outcomes do you expect from a potential coaching relationship? (Select all that apply)
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Please specify
what do you expect from coaching?
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Just me
My management team
Other stakeholders (Please specify)
11. Who else will be involved in the decision making process for engaging a business coach?
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Other stakeholders (Please specify)
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Select...
Fully ready
Somewhat ready
Unsure
Not ready
12. How much time are you willing to commit weekly to achieve the desired changes?
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Select...
Less than 1 year
1 to 5 years
5 to 10 years
More than 10 years
13. How long has your business been operating?
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Select...
0-5
6-10
11-25
26-50
51+
14. How Many Employees Do You Have?
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Less than $500,000
$500,000 to $1 million
$1 million to $5 million
$5 million to $10 million
More than $10 million
15. What is your business's average annual revenue?
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Select...
Yes, I am comfortable making a substantial ongoing financial commitment to coaching.
I need to reassess my financial priorities to decide if I can commit substantially.
No, I am not in a position to commit a substantial amount to coaching currently.
16. Given that coaching involves a significant and ongoing financial commitment to realize long-term benefits, do you feel comfortable committing a substantial amount towards this developmental journey?
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Select...
Fully ready
Somewhat ready
Unsure
Not ready
17. How ready are you to implement changes and embrace new strategies?
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18. What specific questions do you have for me as your potential coach?
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