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:

  • Kortex Mastermind - A group experience for writers, creators, and marketers who want to build a name for themselves online.
  • Kortex VIP - 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 writing-based 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? *
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?
How many followers do you have on social media? *
Are you confident that you are attracting the right audience? One that will eventually buy from you? *
What is your X, Instagram, Or LinkedIn handle? (Write "@username") *
How many followers do you want to gain over the next 6 months? *
What do you do for work? *
What is your current monthly income or revenue? *
How much are you investing each month into your business growth?
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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? *
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.)
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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