Client Information Form
Thanks for contacting me to find out how we can work together.
Please complete the following questions so we can have a meaningful conversation when we speak on the phone/Skype/Zoom.
Once you've submitted the form either myself or my personal assistant will be in touch within 24 hours (via email) to book a consultation.
Once again, thanks so much for your interest. I can't wait to learn more about you and what you do.
How did you find out about me? (Google, referral, speaking event, media publication, webinar, social media, etc)
Please describe your business, including your website, and how long you've been in business.
Where do you need help and what's your biggest business challenge right now?
What are your objectives for hiring me? Please list them in order of importance.
What's holding you back from achieving your objectives?
Is there anything else you'd like to tell me?
Select which service you're interested in
Keynotes, speaking or webinars
Select a Choice
I'm ready & have the money to get started immediately
I'm not quite ready but I want to plan for it now
Do Not Fill This Out