All responses are confidential.
What is your first and last name?
What is your gender?
What is your age range?
20 - 29
30 to 39
40 to 49
50 to 59
60 to 69
Are you a full-time or part-time (side hustle) business owner or solopreneur?
Full-time (I work for myself and do not hold a traditional 9 to 5 job)
Part-time (I have a side business or side hustle in addition to my regular job)
Neither. I'm looking to join a mastermind group to aid me in launching a full- or part-time business
If you currently have a full- or part-time business, share what problem your business is designed to solve.
(Skip this question if you don't yet have a full- or part-time business. Otherwise, please provide an answer)
Do you already have a website and blog, podcast, or YouTube channel? If so, which ones?
I have a website/blog but NOT a podcast or YouTube channel
I have a website/blog and ALSO host my own podcast (but no presence on YouTube)
I have a website/blog and ALSO have my own YouTube channel (but no podcast presence)
I have a website/blog, AND a podcast AND a YouTube channel
None of the above (yet)
If you have a website, what is the URL?
(Skip this question ONLY if it doesn't apply)
Why do you feel you would be a good fit for a business- and personal growth-focused type of Mastermind group? (In your answer, share both what you feel you bring to the group AND what you hope to gain from the group?)
Regarding the monthly dues, you believe that:
Choose the answer the best describes your mindset.
$300 is a lot of money to me. I will be hard-pressed to commit to spending that amount every month.
$300 is a bit of a stretch for me, but I view this as an investment in me and my family's future. I know that, given I participate and contribute regularly, I'll see it come back to me exponentially.
$300 is an amount I probably wouldn't miss. In fact, I'd prefer to save $600 by paying dues annually.
Which of the following statements apply to you?
Check ALL that apply
I desire CLARITY in my business journey.
I am thrilled with the idea of ongoing COLLABORATION with respected influencers and peers.
I am self-aware enough to know I have room to improve and I welcome having others I trust CRITIQUE my work.
I appreciate the experiences of those who've been where I want to go and who aren't afraid to CAUTION me from making any wrong moves.
I long for the CONFIDENCE to know, beyond a doubt, that I am headed in the right direction.
May I reach out to you by email if I desire to schedule a virtual Zoom call with you?
If there is anything else you'd like me to know about you, please provide this info below.
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