CBR Pre-qualification questionnaire Question Title * 1. What opportunities exist for your business? Question Title * 2. What are your greatest challenges at the moment? Question Title * 3. What are the ideal outcomes you would like to achieve from your business in the next three months? Question Title * 4. What could prevent you from achieving these outcomes? Question Title * 5. What have you tried in the past that has not worked? Question Title * 6. Why do you think it is important to have a Business Coach? Question Title * 7. Can you explain the difference between a coach, a mentor and a consultant? Coach: Mentor: Consultant: Question Title * 8. Do you need a coach, a mentor or a consultant? Coach Mentor Consultant All three Other (please specify) Question Title * 9. Your contact details Name Company City/Town Country Email Address Phone Number Question Title * 10. If you qualify for a Complimentary Business Review, when would you like to meet with us? Date / Time Date Time AM/PM - AM PM Done