DISCOVERY FORM
So glad to have you here... Please take a few minutes to fill out this form. Answers are confidential and will help me provide you the best service.
Full Name
*
First Name
Last Name
Gender
Male
Female
E-mail
*
Phone Number
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-
Area Code
Phone Number
Website if you have one
Skype Id
When is the best time to call you?(Please state time zone)
Age
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25 - 34
35 - 44
45 - 54
55 - 64
65 or more
Are you in business?
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Yes
No
If No: Tell me what you would like help with
If yes: How long have you been in business?
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1-2years
3-5years
5+ years
Tell me about your business
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Present Annual Revenue
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£0 - £24,999
£25,000 - £49,999
£50,000 - £74,999
£75,000 - £99,999
£100,000 - £149,999
£150,000 or more
What is your most pressing need?
How to develop my idea into a profitable business
How to attract new clients
Creating consistent Income Stream
Branding my business and gaining visibility
How to organize Seminars and Workshops
Improving my Sales and Marketing
Understanding Search Engine Optimization and Website marketing
How to create my own online community
Creating and managing content for my online profile
Understanding and effectively managing my social media platforms
Managing my time and productivity
Attracting and Keeping Money
Creating products for my business
Gaining clarity on how to move my business forward
How to start a my own radio show
How to launch an online magazine
How to host a an online summit
How to get team support for my business
What else do you need help with right now?
Where are you located?
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Tell me how best you like to learn.
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1-2-1 (Just you and I on Demand over Skype)
Group Program- You get to connect with other women, learn together and share experiences
Home Study courses
VIP DAY : Spend half day or Full day with me over Skype or in my city. A time to Fix your business
What other way would you like to learn?
Have you invested in training and coaching to grow your business in the past?
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Yes
No
If Yes, were your objectives achieved?
What would you see as a major business breakthrough in the next 12 month?
Thank you for sharing with me. Your growth and success is important to me. ~ Placida Acheru
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