Your Business Name *

First Name *

Last Name *

Email *

Contact Phone Number *

Important context for your business success

Have you set personal goals for what you want to get out of life? *

Yes

No

Do you have a clear picture of what you want your life to be? *

Yes

No

Do you know what you want to be doing 5 years from now? *

Yes

No

Let's learn a bit about your business.

Do you have a vision of where your business will be in 5 years? *

Yes

No

Does your bushiness provide you with enough profit? *

Yes

No

Does your business enrich your life? *

Yes

No

Can your business operate while you are not present? *

Yes

No

Do you have enough sales? *

Yes

No

Number of employees (include sub contractors) *

Number of Owners *

Products or services your business provides to customers *

Have you achieved the goals you had when you began your business?

Yes

No

Not yet. I am on track

What is your biggest challenge at this time? *

What successes are you most proud of? *

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