Holistic Business Consult Application
The purpose of this complimentary 30 to 45-minute consultation is to give you expert guidance on your #1 business or marketing challenge. 

As a bonus, you'll see yourself and your business more clearly. You’ll get a clear sense of your business's stage of development. You’ll see if your business is on the right track to grow or if you've missed any milestones. If so, you’ll receive our guidance on how to correct that.

And you'll experience being seen, heard, and valued as a whole person on a business journey. At the end, you’ll be respectfully invited into the supportive program or service that is the most appropriate for your next step.

The questions on this form will help you make the most of your consultation time
. Your information is totally confidential, and the more transparent you are, the more we'll be able to assist you.

After you submit this form, you'll receive an email from info@LiberatedNurse.com within 3 business days. In that email, you will receive links to:
  • Schedule your consultation with one of our coaches
  • Take a free Entrepreneur Energy Profile assessment (optional)
We look forward to talking with you soon!
Sign in to Google to save your progress. Learn more
What is your name? *
What is your best email? *
Which describes you best? *
Who are the people your business serves? *
What problem(s) do you help them solve? *
What is your website? (if you have one)
What is your most important goal for the next 6 months? *
What is the biggest challenge or problem holding you back from reaching your goal? (The space will expand to receive as much as you want to write.) *
What’s been hard about solving this problem? *
What have you already done to try to solve it? *
What would it mean to your life to achieve your goal? (What would be the most desirable result?) *
How do you rate your DESIRE for this result? *
How do you rate your READINESS to take action to achieve this result? *
How do you rate your COMMITMENT to achieve this result? *
How do you rate your CONFIDENCE to achieve this result? *
In what areas do you want more education or support? *
What is the #1 question you would like to ask a nurse business expert?
Have you had a business coach or mentor before? *
If yes, what do you want from your next coaching relationship?
What is your FINANCIAL ABILITY to invest in your business growth and development? The scale is measured at $100 per month increments. *
$0 to $100 per month
$1000 or more per month
What is your age? *
How many years have you been a nurse? *
Is there anything else you want to ask or share?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy