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Business Boost Form

Give Us 5 Minutes

Your feedback is incredibly valuable—it helps us tailor sessions to what you actually need.

This short survey takes about 3-5 min to complete. Which then submits your application for the program

Apply for the Noosa Business Boost Program

This program is available by application only. Completing this survey serves as your official expression of interest and is the first step in the application process.

The more detailed your feedback, the better we can make our sessions. Note: we have the right to reject your application if it does not meet the requirements of the program

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About You

Your name (optional)

Your email (for follow-up, preferably a work email)

Role/Title (optional)

Industry / Organization type (optional)

Location of Business (Required for Noosa Business Boost Program)

Registered Business Address

Best Contact Phone Number

Website and/or Social Media Links


A brief description of your business (1-2 sentences)

What is the primary challenge you're currently facing in your business?

What do you most hope to achieve by participating in this program?

Noosa Business Boost Program

Would you like to apply to the Noosa Business Boost program for 2 hours of support from me? (Proudly supported by the Noosa Council)

Would you like to apply to the Noosa Business Boost program for 2 hours of support from me? (Proudly supported by the Noosa Council)

Feedback

(if you have worked with me: workshop, solutions any form of engagement)

Overall satisfaction

Overall satisfaction

Notes/Testimonial (optional)


One question about key bottlenecks

If you had a magic wand, which of these business challenges would you instantly resolve? (Select all that apply)

If you had a magic wand, which of these business challenges would you instantly resolve? (Select all that apply)

If you answered with "Other", please specify below.


Consent for use of testimonial (required)

Consent for use of testimonial (required)
A
B

Consent for sharing anonymised feedback with funders (required)

Consent for sharing anonymised feedback with funders (required)
A
B