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2025 Coaching Intake Form
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* Indicates required question
Name (first and last)
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Your answer
Gender
Male
Female
Other
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Age
*
Under 12
12-17
18-24
25-34
35-44
45-54
54-64
65 +
Ethnicity
African American
African (not born in the U.S.)
Asian
Caribbean
European (not born in the U.S.)
European American
Hispanic
Middle Eastern
Native American
Other
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Email Address
*
Your answer
Phone Number
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Your answer
Address
*
Your answer
Company Name
*
Your answer
Business Type
*
Performing Artist
Visual Artist
Artisan
Other:
Where are you in your small business journey?
*
Full time
Part time
Developmental stages
It's still a dream
What is your top reason for contacting us?
*
Your answer
Describe in more detail why you require coaching with FAs.
Your answer
How did you hear about us?
*
Referral
Social Media
Email Marketing
Other:
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