Dream Business Coaching - Free Consult Application

Enter Your First Name *
Enter Your Last Name *
Enter Your Company Name *
Enter Your E-mail Address *
Enter Your Daytime Phone Number *
Enter Your Cellular or Alternate Number (optional)
Enter Your Time Zone *
Enter Your City And State/Province *
Enter Your Website(s) *
About how much do you work each week (how many hours and days)? *
What were your approximate gross revenues in 2014? * Less than $100K $100K - $250K $250K - $500K $500K - $1 million Over $1 million
What is your income goal for the next 12 months? * Less than $100K $100K - $250K $250K - $500K $500K - $1 million Over $1 million
What has stopped you, slowed you down, or gotten in the way of you reaching your business goals, up until now? *
Please describe what you want your business to look like 12 months from now: *
How committed are you to making it happen and creating your dream business now? * I'm in it to win it! I regularly invest in my business growth and apply what I learn through coaching, training, masterminds, and seminars I recognize how important it is to invest in myself, but I'm a skeptic - must see that it works before I'll commit I'm interested in learning more, but not ready to commit just yet
How WILLING and ABLE are you to invest in your business and personal growth right now? * I have the financial resources necessary to make a smart investment now I'm able to get the financial resources necessary to make the investment, no problem I have no financial resources available whatsoever to do anything besides what I'm already doing
Describe yourself and your approach to achieving your success and building your dream business now. Finish this sentence: "I am a... * 'Tire Kicker' who can't make a decision and would rather blame others for my lack of success up until now" 'Bright Shiny Object Chaser' who quickly says yes, but then chases the next flash in the pan to arrive in yet another email I subscribe to" 'Success Creator' who takes massive action, kicks 'average' and 'slow to no growth' to the curb, and makes it happen"
We're only able to schedule sessions with entrepreneurs we know we can truly help. Please tell us anything else you feel Jim should know when considering your application for this complimentary session: *
During this complimentary consult, we will very likely uncover some hidden growth opportunities that will immediately help you create a more profitable business faster. * Yes, I'm ready for smart business advice and will take action immediately. No, I currently don't want help doing that.