Intake Questionnaire and Baseline Assessment

Please fill out the form below. Your answers will help us get to know you better.

Note: This form will not save while you work on it! If you close this page and come back, your answers will not be saved.

Name

What is Your business website?

What is your mailing address?

When is your birthday?

How many subscribers do you have on your email list right now?

How many likes do you have on your Facebook Page?

How many followers do you have on Instagram?

How many subscribers do you have on YouTube?

If there's another platform you have a following on, please share what platform and how many followers you have there.

What is your current average monthly revenue?

What is your goal monthly revenue?

If you already have a course, what is it about?

Why do people hire you, come to your website, watch your videos, buy from you, or come to you rather than anyone else in your industry?

Why are you passionate about sharing your work through an online course/membership?

Who do you consider to be your “competition” online?

What content have you already created that could be leveraged for your online course/membership/micro offers?

Do you have any special insight into your industry, a unique credential, or something else we aren’t highlighting enough right now?

If you already have an online course, describe your marketing tactics. Describe your previous launches, tell us about what your situation looks like right now.

How did you hear about The Program?