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Are You a Good Candidate for Individual Sales and Marketing Coaching?
1.
Please take a moment to tell us who you are:
Name:
Company:
Address:
Address 2:
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
2.
What title or industry best describes you?
Lawyer
Financial Advisor
CPA
Contractor
Non-Profit
Small Business
Other - Please identify below
Other:
3.
How many years have you been in business?
1-3
4-7
8-12
13-17
18-25
Over 25
4.
How motivated are you to increase your revenue?
Extremely
Very
Somewhat
Not very
Not at all
5.
How motivated are you to build relationships with new contacts?
Extremely
Very
Somewhat
Not very
Not at all
6.
How confident are you that you are fully serving your existing clients or customers with all -- or most -- of the services you offer?
Extremely
Very
Somewhat
Not very
Not at all
7.
How active are you in building your reputation in the community (volunteering, speaking writing articles)?
Extremely
Very
Somewhat
Not very
Not at all
8.
How happy are you with your personal income?
Extremely
Very
Somewhat
Not very
Not at all
9.
In an average week, how many hours do you spend on marketing?
Over 10 hours
5-10 hours
2-4 hours
1-3 hours
Very little
10.
If you work with a PSM marketing coach, how many hours would you be willing to dedicate to your marketing efforts per week?
Over 10 hours
5-10 hours
2-4 hours
1-3 hours
Very little
11.
How willing are you to be held accountable to reaching your sales and marketing goals?
Extremely
Very
Somewhat
Not very
Not at all
12.
If you were to give yourself a letter grade on your current personal sales and marketing initiatives, what grade would you give yourself (be honest)?
A
B
C
D
F
13.
What are your biggest challenges in sales and marketing?
14.
What have you tried in the past that has NOT worked?
15.
How many years do you plan to continue working in your business?
1-3
4-7
8-12
13-17
18-25
Over 25
16.
If 5 or less, do you have a business succession plan?
Yes
No
I really should
17.
Anything else we should know about you?
