One-on-One Coaching Question Title * 1. Are you male or female? Male Female I'd rather not say Question Title * 2. What is your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60-65 65-70 70 or older Question Title * 3. How long has your business been operating? 0-1 year 2-5 years 6-10 years 11-20 years more than 20 years Question Title * 4. What is the gross income of the business per year? $0-$50,000 $50,001-$100,000 $100,001-$250,000 $250,001-$500,000 $500,001-$1 million $1 million-$5 million $5 million-$20 million Greater than $20 million Question Title * 5. How many team members do you have? Just me 0-5 6-10 11-25 26-50 51-100 101-200 201-500 Greater than 500 Question Title * 6. What are your biggest challenges right now? (Choose all that apply) Income Profit New Clients Current Clients Team & Culture Time Management Business Growth Sale of Business Customer Experience or Service Mindset Relationships Personal Growth Clarity Future Goals Other (please specify) Question Title * 7. What would you like to focus on in the near future? Question Title * 8. Have you had a coach work with you previously? Yes No Question Title * 9. Contact Information Name Company Address City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 10. Thank you for your time to complete this form.A team member will contact you very soon to arrange a time to meet up with Sharon.You may leave any additional comments in the text box below.then click on the 'Done' button to send your request. Done