Full Name *

Email *

What is your phone number? *

What's your Instagram Handle? If none, type NA *

What type of business do you have? Select all that apply. *

Online Health Professional

In Person Health Professional

Brick & Mortar

I Want to Start a Business

Please explain your business in 1-3 sentences, like you’re talking to a 6th grader. *

Who do you serve? What do you sell? What’s the price point?

What is your total monthly income? (All income streams combined) *

$1,000 or less

$1,000- $2,500

$2,500 - $5,000

$5,000 - $10,000

$10,000 - $15,000

$15,000+

What's the biggest obstacle you're facing? *

Need to reach more potential clients

Need more sales

Need systems

Don't know where to start

All of the above

What is the #1 goal you would like to achieve in the next 3 months? BE SPECIFIC. *

Is there anyone else who needs to be on the call for you to make a financial decision? *

Yes

If we align, I would rather ask for forgiveness than permission 😂

Will you have the other decision-maker on the call? *

Yes

Thank you for taking time to complete this survey. Please return when you and your partner can be on the call. If you return and they are not on the call, the call will be canceled.

We have flexible financing options available. If you have to use financing, how would you rate your credit? *

300 - 579

580 - 669

670 - 739

740 - 799

800 - 850

If you gain full clarity on your next steps, how soon are you willing to invest in your business to make them happen? *

Yesterday

Within a week

Next few months

I’m not