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 is definitely a bit sensitive, but the more open you can be with me, the better results we will achieve together. Trust me… I’ve been there, failed that. I can write a few books about everything I’ve messed up in my business career. Remember that your biggest failures and challenges often represent your biggest opportunities!

NOTE: everything is strictly, 100% confidential.

*anything marked with an asterisk is required