Please Complete the Application Form Below....
Name
*
First
Last
Business Name
Email
Brief Description of Your Business
Number of Years in Business
Number of Employees
Website
Turnover 2018
Turnover 2019 (estimated)
Please list all of the current Marketing, Online Marketing and Sales activities you have been engaged in – and how much you currently spend on these activities (Google, Facebook etc).
If you are a long term customer of Chris, please list any of his strategies that you have implemented and the results you have achieved. If you are a new customer, you can leave this section blank.
Why do you want to be one of the 12 Business Owners in this group?
What is the biggest single challenge in your business?
Biggest Personal / Business Challenge: Rank each 1 to 10
(10=BIG, 1=MINOR)
Clarity Of Goals & Objectives
Please select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Turning an Ordinary Business Into An Extraordinary Business
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Marketing
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Sales
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Website Performance
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Skills Better Than Present Opportunity
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Time Management & Personal Productivity
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Employees
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Fighting To Shed/Transcend Limiting Beliefs
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Confidence &/or Strategies To Raise Prices/Fees
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Finances – e.g. making but not keeping money
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Still Heavily Influenced, Restricted By ‘Norms’
Please Select
1 = Minor Challenge
2
3
4
5
6
7
8
9
10 = Big
Other:
