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Business Name:

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What is your business - and what products and services do you provide?

How long have you been in business?

How long have you been following Craig Ballantyne and where? (through his emails, Instagram, Podcast, books, etc.)

What is your current monthly income?

What are the 3 biggest struggles that you are facing right now in your business?

**Please be specific and share as much detail as possible - thanks!**

On a scale of 1-10, how important is this for you to get help with this right now?

What are your two biggest goals you want to achieve in your business in the next 12 months?

**Please be specific and share as much detail as possible - thanks!**

Have you ever had a coach?

If so, please describe your experience and results. Thanks!

Have you budgeted at least $1,500 per month for coaching to achieve your goals?

If you answer No above, please use the box below to explain, why not...

Is there anything else you'd like Craig and our team to know about you, your business, or your past experiences with coaching?

**If you qualify for an info call with one of our top coaches you will be notified within the next 24 hours to book your call**
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