PBD MENTORSHIP
For internal use and private mentoring requests only. Please fill out the form below.
First Name: *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email: *
Your answer
What is the name of your business? *
Your answer
Website Link: *
Your answer
How many years have you been in business? *
Your answer
What is your mission statement? *
Your answer
Do you have business partners? If yes, how many? *
Your answer
Company revenue in 2016 *
Your answer
Company revenue in 2017 *
Your answer
Company revenue in 2018 *
Your answer
Projected company revenue in 2019 *
Your answer
Who makes the major decisions for your business? *
Your answer
How many employees do you have? *
Your answer
How many locations do you have? *
Your answer
What would you say is your biggest challenge in business thus far? *
Your answer
Do you have tools to track your analytics and rate your systems effectiveness? *
Are you comfortable sharing your businesses profit and loss numbers with Patrick? *
Why do you feel you need a mentor or a business consultation?
Your answer
Have you had a mentor or consultant in the past? *
If yes, what was their main area of focus? *
Your answer
Are you looking for a one time meeting, quarterly or monthly commitment? *
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