Application Form Url Title Choose One Mr. Ms. Mrs. Prof. Dr. First Name * Last Name * Email Address * Contact Number * Skype Name Current/Proposed Business Model * Coach/Consultant Professional Services Business Online Course Creator Author/Speaker Network Marketing E-commerce/retailer Other Tell me Briefly About your Business? (Who do you serve? What do you charge? etc.) * What is the current MONTHLY revenue for the business you are building? * What is the TARGET MONTHLY revenue for this business? Be 100% honest - what do you think is stopping you from hitting your target monthly revenue? Does this business currently have a website? * What is the biggest challenge with your website? (Traffic, not converting, unsure) Name your top 2 goals for your business that you are fundamentally committed to achieving in the next 6-12 months. * What is the PAY OFF for achieving these goals? How is your new life going to be different? What is the most important criteria for your success as we work together? * Increase in revenue Increase in followers/subscribers/contacts Improving your current business so you have more time and less stress. Something else? How ready are you to take action within your business? * Yes! Let's do this! I'd like to but I am unsure I am too busy at the moment. No, I am not ready at all. Do you have the finances to start to invest in your business? * Yes! I'm ready Some, but I am apprehensive Unsure No, still working on a very strict budget. Information Summary