EmpowerU 1:1 Business Coaching
Application for EmpowerU 1:1 Business Coaching
Email address *
First Name *
Last Name *
Gender *
Age Range *
Phone Number *
Instagram Handle *
FB Profile Name URL *
How did you find out about 1:1 Business Coaching with Artemis or Eric and EmpowerU Online Coaching? *
Required
If referred by a friend and/or colleague, please specify name of person below... *
Are you (please check all that apply)? *
Required
Do you own an online business? *
Do you own a brick and mortar (e.g. facility for your business)? *
What is your niche/specialty and who is your ideal client? If you don't have clarity on your niche audience or target client, what do you think will help you gain that clarity? *
What is your current average monthly revenue for your business? *
How much monthly revenue would you like to be making in the next 6-12 months? *
What is your #1 business goal that you wish to accomplish in the next 6-12 months? Specifically how much income would you like to make, impact you would like to create, or change you would like to make? *
What do you struggle with in terms of reaching this goal? *
What is the biggest obstacle you're facing with growing your business and/or making the change that you need to make to achieve your goal? *
On a scale of 1 (not important) - 5 (extremely important), how important is it to you to achieve your goals and overcome your current obstacles? *
Not important.
Extremely important.
Based on your financial situation right now, and knowing that investing in a coach means that you could triple or quadruple your income (or even more!!), and give you the financial and personal freedom you dream of, ARE YOU... *
For fun :), What is your walk up song? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy