SurveyMonkey Powered Online Survey

Congratulations for receiving a bonus "Fill Your Practice Fast" Practice Evaluation!

Fill out the assessment below, so you get the most out of our time together (even if you have filled out a similar assessment before, fill it out now because things may have changed since then)

Everything is 100% confidential. Look forward to your session!

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* 1. The stage of my business is:

I'm a new business owner and/or have few clients.

My services/products are making me money. But there must be an easier way to get more than enough clients. I'm working way too hard and don't have the kind of money to show for it.

I am an established business that is making the money I need, but am not making the difference or having the lifestyle I want.

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* 2. What is your business name? Describe in 3 sentences or less what your business does.

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* 3. Website URL(s):

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* 4. What's your biggest challenge in your practice/business right now?

People aren't paying me for my services/programs/products like I thought they would

Going deeper in debt

Tired of working so hard & getting burned out

I don't have a business that runs without me. I've created myself a job

Not making a difference in the world like I thought I would be when I started my business

I'm not making enough money to support myself

Other (please specify)

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* 5. If you could wave a magic wand, what would be different about your business in 6-12 months?

Patients/clients come to me without my seeking them out

Clients are wanting to pay me what I'm worth

My business brings in consistent income

My business is on autopilot, and I don't have to be stuck doing everything, and not being able to take time off

I am known as a go-to expert & leader in my field

I am confidently on a path to transform the world, instead of just worrying about keeping the business running

Other (please specify)

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* 6. What is your annual current income? (your answer will be kept confidential)

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* 7. What would you like your annual income to be a year from now?

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* 8. What are you currently doing to get patients/clients in the door & returning? How else are you making income in your business?

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* 9. What's currently the most frustrating thing you're dealing with when it comes to attracting a consistent flow of clients/patients, or putting your business on autopilot?

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* 10. What do you think is holding you back the most?

Not having the confidence & skills to ask for commitment to my services and get paid what I'm worth (especially when someone says they can't afford it)

Not sure how to design my services/programs/product offerings & price them so people are excited to invest and get started

Not having a strategy that works to get a flow of requests for my services/products

Not knowing what to do differently to reach the next level, since what got me here won't get me to where I want to go

I might be sabotaging myself subconsciously

Other (please specify)

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* 11. What training or mentorship have you invested in to grow your business, and what have been the results?

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* 12. What's the outcome you'd like to see happen for your practice by 90 days from now?

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* 13. Are you willing & able to invest in the growth of your business?

Yes, and I have access to financial resources

No, I don't have access to financial resources right now

Yes, I can get access to financial resources

No, even if I feel what you recommend can help me, I'm just here for free advice and that's it. I'm not frustrated enough to commit to & get guidance for lasting change and faster growth in my practice.

Other (please specify)

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* 14. Name

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* 15. Email

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* 16. Mobile Phone

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* 17. How did you stumble upon us? Share the type of Chen's teachings you've experienced (ie, blog article, teleseminar, live speaking, program), and describe what you've learned so far.