Full Name *

Email *

Demographic Information:

What is your age range?

What is your gender?

Which industry do you work in? *

Current Status

Where are you currently in your career/business journey? *

Do you currently have a business? Yes - average monthly revenue No-current monthly income and business considering starting? *

What inspired you to explore starting or growing an online service, consulting, or coaching business? *

Do you feel fulfilled in your current career or life situation? Why or why not? What's going on right now? (This is confidential) *

Life and Family Dynamics

Do you live with family, loved ones, or dependents? *

How would starting or scaling this business impact your family and personal life? *

What does work-life balance mean to you, and how important is it in this next phase of your life? *

Vision and Goals

What is your financial goal for your business in the next 12 months? Why is this goal important to you? *

What does your ideal life look like 12 months from now? *

On a scale from 1-10, how committed are you to creating a life and business that aligns with your vision? Why now? *

Challenges and Obstacles

What are the biggest challenges or obstacles you’re facing right now in starting or growing your business? *

Why do you think you haven’t achieved your goals yet? *

What have you already tried to address these challenges? What worked, and what didn’t? *

What fears or doubts do you have about this process? *

Time, Mindset, and Readiness

How many hours per week can you realistically dedicate to starting or growing your business? *

Are you willing to dedicate 30-60 minutes per weekday to your goals? If not, what’s holding you back? *

On a scale from 1-10, how good are you at following through and implementing action steps? *

On a scale from 1-10, how willing are you to step outside your comfort zone to create the life and business you want? *

Business Coaching Experience, Investment and Support

Have you ever worked with a business coach before? *

Yes

If yes, what areas did you focus on? (Select all that apply) *

What were the results? *

What resources, tools, or support do you feel you need to succeed? *

If we are aligned and a good fit, I may offer you an opportunity to work together, how willing and able are you to invest in your growth and transformation? (programmes range from $99/m to $250,000/y) *

Current Needs and Preferences:

What are the top three challenges you face in your business? *

Which of the following areas would you like to improve with business coaching? (Select all that apply) *

How do you prefer to receive coaching? *

Why is now the right time for you to take action? What's at stake if you don't? *

If you dont take action, whre do you see yourself in 1 week, 1 month, 1 year? *

Do you believe that with the right support, you can make this vision a reality? Why or why not? *

New Opportunities:

What additional services or resources would you find valuable from a leadership and emotional resilience coaching company? *

Are there any specific topics or skills you believe are currently underrepresented in business coaching?

Would you be interested in a subscription-based coaching model that provides ongoing support and resources?

Yes

Maybe