Profit Diagnostic Request Form
Hi there!

I'm excited for you... Do you know why? Because we are about to find the profits hiding in your business!

To get started, simply complete this form and schedule a meeting with me to perform the diagnostic and discuss the results. You will receive instructions on how to schedule a meeting with me after submitting the form.

If you do not know an answer, not a worry. Simply provide your best guess.
Email address *
Your Name *
Your answer
Business Name *
Your answer
#1 Current Sales Leads
Your answer
#2 Average Customer Spend
Your answer
#3 Customer Purchasing Frequency
Your answer
#4 Annual Sales (last year)
Your answer
#5 Variable Costs (last year)
Your answer
#6 Gross Profit (last year)
Your answer
#7 Fixed Costs (last year)
Your answer
#8 Net Profit (last year)
Your answer
#9 Owner Pay (last year)
Your answer
#10 Adjusted Net Profit (last year)
Your answer
#11 Sales Conversion Rate
Your answer
#12 Customer Retention Rate
Your answer
#13 Gross Profit Margin
Your answer
What do you enjoy most about your business? *
Your answer
What are your short-term and long-term goals? *
Your answer
What is the biggest challenge/struggle in your business today? *
Your answer
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