Are you male or female?

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* 1. Are you male or female?

What is your age?

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* 2. What is your age?

How long has your business been operating?

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* 3. How long has your business been operating?

What is the gross income of the business per year?

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* 4. What is the gross income of the business per year?

How many team members do you have?

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* 5. How many team members do you have?

What are your biggest challenges in your business?

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* 6. What are your biggest challenges in your business?

What would you like to focus on in your business in the near future?

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* 7. What would you like to focus on in your business in the near future?

Have you had a business coach work with you and/or your team previously?

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* 8. Have you had a business coach work with you and/or your team previously?

Contact Information

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* 9. Contact Information

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.

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* 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.

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