JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LAUNCH WITHOUT BURNOUT APPLICATION
Thanks for your interest in LAUNCH WITHOUT BURNOUT. Please fill out the form below so I can make sure that you're a good fit for this program. Please make sure to give detailed responses as this is what I'm using to understand your goals.
If I think it's a good match, I'll get back to you within 24 working hrs to schedule a quick call with you to answer any questions you have before I welcome you to the program. Thanks!
* Indicates required question
Full Name:
*
Your answer
Email (Please provide a valid email. I'll use this to follow up with you if I have any questions).
*
Your answer
Phone:
*
Your answer
What is the current status of your business?
Business Idea Phase (Not officially started)
Business Launched (age < 3mo. - 6mo.)
Active (age < 1 year+)
Have a business, not currently active
What kind of business do you have or are trying to start in the next few months? Please check all that apply.
*
Product Based Business
Service Based Business
Social enterprise (purpose-driven business)
Startup or larger organization with employees
Other:
Required
In a few sentences, please tell me what type of business you have (or are trying to create).
Your answer
What is the main challenge your business is currently facing?
*
Your answer
What is your number one priority for this business during this fiscal year?
Your answer
What do you see yourself accomplishing during (or shortly after) this program?
Your answer
When do you expect to begin your project and is there a current deadline for your project completion?
Your answer
Anything else I should know regarding your business?
Your answer
On a scale from 1-10, how much are you willing to invest (time, energy, money) in reaching your goals you identified above? (1 being "not very much", 10 being "I'm so committed to reaching this goal."
*
1
2
3
4
5
6
7
8
9
10
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
Forms