Business Name
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Client Name
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First Name
Last Name
Phone
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Country
(###)
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Email
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What type of business are you in?
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Professional Services
Manufacturing
Retail
Wholesale/Distributor
Other
Please list the specific types of products and/or services you provide for your customers
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How long have you been in business?
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Do you have a business plan?
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Yes, I have a current plan and I review it regularly
Yes, but it's out-of-date or could be better
No
Who, other than yourself, is involved in the decision making of your business?
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Please describe your main challenges. What holds you back? Be specific.
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How many hours per week do you currently work (on average)?
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How do you feel about this?
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Why would a customer buy from you and not your competitors? What makes you unique?
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How do you see this growth being achieved?
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What percentage of your time, on average, do you spend working IN your business?
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(For example; Client meetings, sales, delivering services, on the tools, admin, financials, marketing, supervising staff or teams, running daily operations, etc.)
Please describe your strengths as a business owner
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Please describe the areas where you need improvement as a business owner?
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What is the biggest frustration you have with your own business?
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Leadership
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Marketing
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Sales
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10
Finance
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Operations
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1
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10
Strategic Planning
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1
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Goal Setting
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Customer Service
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1
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Decision Making
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1
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Employee Development
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1
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10
What is your current team size (How many people do you currently employ?)
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What team challenges are you currently facing on a regular basis?
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If you could make any changes to your team, what would they be and why?
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What are your hobbies? How do you currently spend your time outside of your business?
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If you had enough time and financial resources to do anything you choose, how would you spend your time outside of your business?
Which statement best describes you?
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(Check one)
I'm an action-oriented person who is most comfortable when in charge
I'm a people person who values friendships in my work relationships and likes to build consensus
I'm calm and cool under pressure and like to make logical rather than emotional decisions
I like to study lots of information before making decisions
If there was one thing you could change about your business in the next 90 days, what would it be and why?
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If there was one thing you could change about your business in the next 12 months, what would it be and why?
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Is there any additional information you feel would be valuable for our discussion?
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