Quarterly Intensives Request Form
Please fill out the following information.

This will allow me to have a sense of your business overall, the areas you're seeking long-term, collaborative support, your current systems and strategies, and your business goals, so that I may best help support you in setting up an agreement that will be most in alignment for you.

Thank you!
Sign in to Google to save your progress. Learn more
Name *
Please type out name pronunciation
Correct pronouns *
Email Address *
Website Address *
Social Media Information (Instagram, Facebook, Pinterest, etc.) *
Please describe your business (what it is that you do/provide for others, general overview of offers/products/services): *
How long have you been growing your business? *
Who are your niche clients? *
In what area(s) are you seeking collaborative support (choose all that apply)? *
Required
Please describe your current strategies for the areas you chose above: *
Please share with me your current business struggles (if any): *
What are your long-term business goals? *
What are your short-term business goals? *
How are you hoping entering into this collaborative support service will help support you in the growth + sustainability of your business? *
Aside from your business, how do you enjoy spending your time? *
Is there any other information you'd like me to know about your business + yourself?
How did you hear about this service? *
Thank you so much for your time! I will review your information upon submission and contact you soon. Lots of love, Jordan ♡
As a reminder: New clients are considered to begin at the start of each new quarter (January, April, July, October), and are signed on for an agreement of at least 3 months.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy