About
First Name
Last Name
Best Email
Cell Phone
Skype Username
City
Basics
Business Name
Business URL
Number of Employees (on site)
Number of Virtual Employees (local or overseas)
Years in Business
What’s your primary role?
Please tell us a little bit about your business?
What are your 6-12 month business goals?
Business
Which revenue bracket best describes your business?
$0 (startup)
Under $100k
$100k - $500k
$500k - $1M
Over $1M
What do you need the most help with? (Use ctrl to select multiple)
Marketing funnels
Lead generation / paid traffic
Webinar creation & webinar hosting
Sales copy-writing
Sales training
Selling From Stage
Speaker training
Authority branding & positioning
Book development / writing / publishing
Getting booked for speaking events
Hiring & managing virtual employees
Operations & systems
Productivity & time management systems
What are some of the challenges you’re currently facing?
What will you bring to a mastermind team?
Briefly describe why you feel that you would be a good candidate for our program?
I am willing to partner, give & receive help for the mutual benefit of the group
Yes
No
I will invest in tools, systems & consultants to grow my business
Yes
No
Have you watched the webinar?
Yes
No
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