Work With Me Questionnaire
Please take a few moments to fill out this form so that I can find out more about you
Name *
Email *
Phone number *
How did you hear about me?
Are you currently subscribed to my newsletter? If not would you like to be added? *
What is your current situation with marketing and publicising your business? What are you struggling with? Is there anything overwhelming you? *
How is this issue affecting you, your business, and finances? *
If I waved a magic wand, what would you love to achieve in terms of marketing and publicising your business? *
What are your goals over the next 6 months and what would accomplishing these achievements mean to you? *
What are your biggest challenges in achieving your goals?
On a scale of 1-10 (10 being highest) how committed are you to reaching your goals?
Please enter a value between 0 and 10.
Have you had any kind of press or media coverage for your business in the past? If so, where?
Working with Dina on a 1-2-1 basis is a minimum of a four-figure investment (pay-in-full and payment plan options are available). Are you ready to invest in your business?
Clear selection
Are you ready to take action NOW?
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Anything else you'd like to add?
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