Kortex Intake Form
This questionnaire contains a series of questions that, if answered truthfully, will help us tell you whether you are a fit for our services or not.
This is not a free service. All of our premium services would be considered expensive to beginner business owners. Please only fill out this form if you are actively looking for advanced brand, content, and product help.
Our services include:
- A group experience for writers, creators, and marketers who want to build a name for themselves online.
- An intimate 1-to-1 experience for founders, executives, and leaders that want more digital authority for themselves and their companies.
We only work with:
Individuals that want a
personal brand. No flashy images, designs, or gimmicks. Pure depth and authority with an intelligent audience built.
Writers, creators, and marketers that want to use a personal brand as a powerful traffic mechanism (you don't have to rely on heavy marketing and sales anymore).
Founders, executives, and leaders of companies that want to build their voice online and bring a positive reputation to their company.
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What is your reason for filling out this questionnaire?
I have a family to support and my current income doesn't cut it
I'm a founder, executive, or leader that sees the power in having an authoritative voice online with content creation
I'm already creating content but haven't seen great results or it takes too much time
I'm a creator that knows I can improve my knowledge and execution to write better, grow faster, and create depth behind my brand
On a scale of 1 to 5 how happy are you with your brand's growth over the last year?
I want to grow faster
I'm happy with my growth
On a scale of 1 to 3 how overwhelmed do you feel with the amount of work you have?
1 - Not overwhelmed at all. I'm a task completing machine.
2 - I am occasionally overwhelmed. My actions don't always equal results.
3 - I don't have enough time in the day with no clear direction.
How many followers do you have on social media?
0 - 1,000 followers
1,000 - 10,000 followers
10,000 - 100,000 followers
100,000 - 500,000 followers
Are you confident that you are attracting the right audience? One that will eventually buy from you?
No, I abused tactics that led to a shallow audience.
Yes, I've built depth in my content that creates new customers.
What is your X, Instagram, Or LinkedIn handle? (Write
How many followers do you want to gain over the next 6 months?
What do you do for work?
I have a part-time or full-time job.
I am a creator that lives off of their product or service revenue.
I'm a founder, executive, or leader with a profitable company.
I'm a writer, creator, or marketer that wants to monetize my work.
What is your current monthly income or revenue?
$1,000 - $10,000 per month
$10,000 - $50,000 per month
$50,000 - $100,000 per month
$100,000 - $1M per month
$1M+ per month
How much are you investing each month into your business growth?
$0 - $500 per month
$500 - $7,500 per month
$7,500 - $20,000 per month
$20,000 - $50,000 per month
$50,000+ per month
With the right guidance, how much do you want to add to your monthly income or revenue per month (6 months from now)?
In your opinion, what is the one thing that is holding you back from reaching that?
Consistent product sales or clients
Sustainable and authoritative growth on social media
Mental clarity, direction, and drive that gets me out of bed in the morning
Writing and content ecosystem quality that removes the necessity of long funnels and hard sales
On a scale of 1 to 5 how confident are you in branding, writing, growing on social media, and creating new customers yourself?
I need guidance
I can do it myself in under 6 months
If we see that you can get massive benefit from your services, will you be ready to commit your time, focus, and finances to reach your individual goals?
(If this question makes you uncomfortable, we ask that you do not submit this questionnaire.)
Yes, I have the finances, time, and energy to commit to a new service.
No, I am not ready to utilize this service.
What is your first name?
What is your last name?
What is the best email to reach you at?
What is the best number to text you at?
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This form was created inside of Kortex.