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Coaching and consulting intake form
Thank you for booking a session with me.

Please fill in the form below to help me understand you better.

I will use this information to tailor our session to your needs.

Your information will remain private and will not be shared with anybody outside our session, unless you request or permit it.
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Email *
Full name *
Who is your target market, in one line? Be as specific as possible. *
(Hint: It's never "everybody.")
What problem(s) are you trying to solve for this target market? Be as descriptive as possible. *
(Be specific about their needs, pain points, challenges, and desires.)
What products or services do you currently offer to your customers? *
(Briefly describe each product or service.)
What products or services are you planning to offer in future, if any?
(Helps us work toward integrating those future offerings into your current product lineup.)
What's your current revenue rate, per month, on average? (Include the currency) Share a range if you don't have exact numbers. *
(So we know whether you're under-charging for your services and whether you could be earning more.)
What monthly revenue goal would you like to reach, realistically? (Include the currency) *
(So we know how much effort you'll need to put in to reach your revenue goals.)
Where are you getting stuck in your business? What do you need help with? *
(Be as descriptive as possible. Our session hinges on this answer.)
What type of content do you currently create, and what's your strategy behind it (if any)? *
There's no right or wrong answer here — just share what you've tried so far.
What's your website URL? *
(If you don't have a website, put 'N/A' in the box.)
What are your social media handles/URLs? *
(Put 'N/A' if not applicable.)
Last step: Choose a time
Please visit my Calendly page to choose a time that works best for you: 

Chat soon,

Dr Mo
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