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Intake Form

First Name

Last Name

Email

Phone Number

City / Business Location

Years in the Industry

Current Monthly Revenue (approx.)

Instagram or TikTok Handle

Business Type

Are You a Current Member?

How Did You Hear About Me?

Your Identity Profile

Answer instinctively — there's no right answer, only the one that's actually true right now.

1. When revenue dips, your first instinct is to:

A
B
C
D

2. Raising your prices feels:

A
B
C
D

3. Your calendar is currently:

A
B
C
D

4. When something in the business breaks, you:

A
B
C
D

5. What you're most starved for right now is:

A
B
C
D

Where It Actually Hurts

Select everything that's currently true. Be honest — this shapes the strategy I bring to your call.

Current Struggles (select all that apply)

In one sentence — what's the ONE thing that's costing you the most right now? *

If this call goes exactly right, what changes in your business in the next 90 days?