What is your full name, email & phone number?

What industry are you in and what do you or your business do?

Are you a driven person who will see challenges through to the end and not easily give up?

Are you willing to commit an appropriate amount of time to learning and growing your business/skills/etc.?

Are you willing to fly to my office (or location of choice) and spend a day or two days fully committed with me? (Or online fully committed)

What is your #1 goal for attending an event like this?

What is the #1 challenge you are facing in your life/business?

What was your business revenue in the last 12 months?

What would you like your revenue to be for the next 12 months?

Do you believe in yourself and believe you can accomplish your dreams?