* 1. What is your name?

* 2. What is your e-mail address?

* 3. What is the best telephone number for me to call you?

* 4. What inspired you to consider the Mastermind at this point in your journey?

* 5. What is your current occupation, career position, title of startup? (if more than one, please share them)

* 6. Approximately what do you spend each month to market your business?

* 7. What kinds of things have you already done to invest in yourself and in your creative, entrepreneurial leadership or marketing growth?

* 8. If you were to have breakthrough in this area, what would that enable for you?

* 9. What you MOST want to get from being part of this Mastermind group?