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Discovery Session with Rosemary O'Brien - Coaching
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1.
Are you male or female?
(Required.)
Male
Female
I'd rather not say
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2.
What is your age?
(Required.)
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
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3.
How long has your business been operating?
(Required.)
0-1 year
2-5 years
6-10 years
11-20 years
more than 20 years
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4.
What is the gross income of the business per year?
(Required.)
$0-$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
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5.
How many team members do you have?
(Required.)
0
1-5
6-10
11-25
26-50
51-100
101-200
201-500
Greater than 500
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6.
What are your biggest challenges in your business? (Choose all that apply)
(Required.)
Income
Profit
New Clients
Current Clients
Team & Culture
Time Management
Business Growth
Sale of Business
Customer Experience or Service
Other (please specify)
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7.
What would you like to focus on in your business in the near future?
(Required.)
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8.
Have you had a business coach work with you and/or your team previously?
(Required.)
Yes
No
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9.
Contact Information
(Required.)
Name
Company
Address
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
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 Rosemary.
You may leave any additional comments in the text box below.
then click on the 'Done' button to send your request.