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First name
*
Last name
*
Email
*
Phone
Company name
Website or Social Media Links
What product or service do you offer?
How long have you been in business?
0-5 years
5-10 years
10+ years
Current monthly revenue:
0-$10K
$10K-$50K
$50K+
What are your top 3 business goals for the next 6–12 months?
How do you define success for your brand and influence?
Why do you want to join the VIP Experience?
What is your biggest challenge in growing your brand or influence right now?
What has prevented you from achieving your goals so far?
Have you worked with a coach or mentor before? If yes, what was your experience?
Are you willing to invest the time, effort, and resources needed to implement strategies and achieve results?
Yes
No
Do you prefer 1:1 coaching, done-with-you support, or both?
1:1 Coaching
Done-with-you support
Both
Anything else you want us to know about your business, vision, or goals?
SUBMIT
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