Client Intake Form
This form will gather pertinent information needed for your consultation and for service delivery.  The next step is to schedule your 30 minute consultation here http://bit.ly/TRFGPowerSession. Your consultation should be scheduled 72 hours from the date you complete your Client Intake Form.  

If you have questions, please contact us at Contact us at (615) 601-0833 or info@TheRLFlemingGroup.com.
Sign in to Google to save your progress. Learn more
Are you a new or existing customer? *
Your name *
Business Name *
What is your website address? *
Best Phone number to reach you: *
Please enter your area code and phone number
Preferred contact method *
Required
Define your industry. *
Define your key market (clientele). *
Tell me about your business? (What do you do, who do you serve, who is your ideal customer, what are your signature products, etc) *
What is your business vision? *
What is your business mission or mantra? *
What is your Annual Revenue Goal? *
What was your past years Sales? *
Where would you like to see your business in 90 days? *
What Products or Services are you currently selling or would like to sell? *
What are your biggest challenges with your offerings (clients, packaging, pricing, quality, leads, marketing, sales, etc)? *
What support do you feel you need for your business? *
Do you believe in self-investment to reach your life and business goals? Please explain. *
How do you handle feedback? How do you like to receive feedback? *
Why do you want to work with The RL Fleming Group? *
How did you learn about the 30-minute consultation? (be specific) *
Questions and comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms