Christian Martin + Associates Consultation Form
Please fill out the one-page form below. Once the form is submitted, a link will be displayed in the thank you message where you can book an appointment with us if you do not have one already.
Email address *
First and Last Name *
Phone number *
Job Title at Company *
Company Name *
Company Size *
Year Established *
Company Industry *
Company Website URL starting with "http://". If no Company Website, post URL to your LinkedIn Profile. *
List your Product(s) or Service(s) Offered. *
List your Primary Stakeholders. *
What are your short-term and long-term goals with your business? *
Describe 1 or 2 challenges or pain points you would like to address during the consultation. *
What impact does your challenge or challenges have on your business and/or stakeholders? *
What are the goals you want to achieve on the other side of these challenges and why are these goals important? *
Describe what you are currently doing to address these challenges or pain points. Please include any systems/practices and technologies you are currently using. *
Are there any considerations we should be aware of in preparing for your consultation? *
How committed are you to changing the outcome you are currently experiencing with your challenge(s)? *
Not Committed
Fully Committed
How willing are you to commit financial resources to you accomplishing your goal on the other side of your challenge(s)? *
Not Willing
Fully Willing
How did you find us? *
Would you be interested in subscribing to our monthly newsletter? *
Please share anything else you would like to mention or questions you may have.
Post-submission Instructions: Remember after submitting this form, a thank you message will appear displaying a clickable link for you to schedule a consultation time if you do not have one already scheduled. *
A copy of your responses will be emailed to the address you provided.
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