Consulting Program Entrance Assessment Form
Please complete this assessment to help us determine if our consulting program is the right fit for you and your business.
Full Name
*
First Name
Last Name
Business Role / Title
*
Briefly describe your business or organization.
*
Which best describes your current business stage?
*
Startup (0-2 years)
Growth (2-5 years)
Established (5+ years)
Other
What are your top three business goals for the next 12 months?
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What are the biggest challenges preventing you from achieving these goals?
*
How ready are you to invest time and resources into making significant changes?
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1
2
3
4
5
What is your estimated budget range for consulting support?
*
Please Select
Under $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000+
Preferred style of support (select one):
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One-on-one coaching
Group workshops
Online resources
Other
Please rate your experience with previous consulting or coaching programs.
*
Rows
No Experience
Some Experience
Extensive Experience
Business Strategy
1
2
3
Operations
4
5
6
Leadership Development
7
8
9
Submit Assessment
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