Client Assessment Survey Question Title * 1. Name Name Company City/Town State/Province Country Email Address Phone Number Question Title * 2. Business Website URL (if applicable): Question Title * 3. What product or service do you offer and who do you sell to (businesses or consumers)? Question Title * 4. Current monthly revenue for the business you would like to discuss? Less than $1,000 per month $1,000 - $5,000 per month $5,000 - $10,000 per month $10,000 - $20,000 per month $20,000 - $50,000 per month More than $50,000 per month Question Title * 5. What is your target monthly revenue for this business? Question Title * 6. How much does one client/customer of yours spend on your product/service? (An average price or a small range is fine) Question Title * 7. What problem are you having that you would like me to help with? Also, what would success look like for you if the problem were solved? Question Title * 8. What is your monthly budget for implementing a solution? (if any) *This will let me know which methods are not feasible for solving your problem. I would like to suggest solutions that are within your budget.* Question Title * 9. How committed are you to coming to a solution for your problem? Somewhat committed -- I'm in no hurry to solve the problem Committed -- I would like to solve the problem soon Very committed -- I need this problem solved ASAP Question Title * 10. How many months of coaching would you like to sign up for? 1 month 3 months 12 months Done