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What is your name?
   
 
 
 
Are you an entrepreneur?
 
Yes
 
No
 
 
 
What is your biggest challenge?
   
 
 
 
Where do you want to be in 6­-12 months?
   
 
 
 
Have you ever considered hiring a coach

 
yes
 
no
 
 
 
What is your time frame for hiring a coach?
 
Immediately
 
1­-2 months
 
2­-4 months
 
4-­6 months
 
6­-12 months
 
over 12 months
 
 
 
When would the best time be for a call to discuss?
   
 
 
 
and what is the best number to call on?