CONSULTING INTAKE FORM

Before we start working together, please take a few minutes to let me know a bit more about you and your business. Some of the information below might be construed as a bit sensitive, but the more open you can be with me, the better results we will achieve together. Remember that your biggest failures and challenges often represent your biggest opportunities!

Name *
Name
Phone No.
Phone No.
Skype is my preferred software for long-distance meetings, but if you prefer another tool please mention it here.
Enter your company name (if you have one)
enter your website URL if you have one
http://
Dig in to the answer above and clarify exactly why you're chasing that vision
The more honest and open you can be with me, the more I can help you - we can also discuss this during our sessions if you prefer.
Pro-rate and total up your part-time staff (e.g. 2 employees @ 20hrs/week = 1 Full-Time Equivalent)
PLEASE RANK THE FOLLOWING STATEMENTS FROM 1 TO 10 (1=strongly disagree, 10=strongly agree)