First Name
Last Name
Email
*
Website
Phone
*
Briefly describe your business
Which best describes your current stage?
I’m just getting started (less than 1 year in)
I have some momentum and want to grow
I’m established and ready to scale
I’m pivoting or rebuilding
Other
If you selected Other, please describe
What are your main offers, services, or products right now?
What’s your approximate business revenue in the past 12 months?
Under $10,000
$10,000–$50,000
$50,000–$100,000
$100,000–$250,000
$250,000+
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What’s the #1 outcome you want from working together?
What’s your biggest challenge or roadblock at the moment?
Have you participated in any of my programs before?
The Porchlight Method
VIP Day
Downloaded a guide or attended a webinar or workshop
No, this is my first time
How comfortable are you with tech and online tools?
Very comfortable
Somewhat comfortable
I get by, but it’s not my favorite
I’d love more support with this
Are you able to commit to bi-weekly Zoom calls and implementation between sessions?
Yes
No
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