Exploratory Evaluation

The Next Step...

Congratulations! You've taken the first step and here you are. You're on your way. Now it's time to learn how Elevating Your Business will benefit you in growing and increasing the value of your buisness.

Next step is to honestly complete the form below and submit it confidentially to Maria Marsala. Note: Do your best to answer each question. If your answers are very vague, short or incomplete we will not be able to conduct a free consultation.

After we receive your form we'll email you to schedule a 20-30 minute telephone evaluation and we'll send you an assessment to complete and email back us at least 24 hours before the session.

Who Qualifies for a Free Evaluation/Consultation?

Unfortunately, we are unable to provide the 2000 people who visit our website each month with a free consultation. We are able to provide business owners, BOM or executives who fit the criteria below:

• You're a service-based business owner, practitioner, independent professional or "C" level executive .
• You have employees or you're a big thinker ready to hire employees and consultants to hel pyo ugrow your business.
• You're willing do whatever it takes to be more successful, including making changes to the way you currently do business.
• Your business is more than your a business. You give back some of what you've been gifted back to your community.
• You're ready to work smarter and take consistent action to get results.
• You understand that taking your business to the next level is not a short term thing. In fact, getting systematized is a 1 year process and you're ready to commit to a minimum of 6 months, but usually 12 month program.
• You have or want to learn how to have 3 hours a week to devote to growing your business.
• You have the money to easily pay us. Our rates range from $297 to to $2000 a month depending on the plan you choose.

Introductary Session Form
Please fill in all fields marked with a*
	First Name	*
	Last Name	*
	Street Address	*
	City or Town	*
	State or Province or County	*
	Country	*
	Postal Code	*
	Telephone Number	*
	Email Address	*
	Web site URL
	Name of Company
	Title
	I first heard about you from:	*
	Do you consider yourself a highly committed and focused person who sees challenges through to the end and doesn’t back down from your goals?	Yes No *
	How ready are you right now to begin working one-on-one with a Business Coach to create a more successful business and raise your revenue?	1. Not sure. I'm just thinking about it. 2. Somewhat. I'm curious about what it can do for me. 3. Interested. I have questions to ask before I commit. 4. Very interested. I need more info. 5. Definitely. I’m ready today!*
	Are you willing to commit at least 5 hours per week to learning and doing the necessary assigned work to make your business more successful?	Yes No *
	Do you realize the value of coaching and are you ready and willing to make a financial investment to move your life, your goals, and your business forward.	Yes No *
	Do you agree to have an open and candid discussion about your goals, business, and current challenges and opportunities that are before you?	Yes No *
	What amount of money have you currently put aside to making this a reality and moving your business forward in the next 12 months?	Please Select $1 - $2,500 $2,500 - $5,000 $5,000 - $10,000 $10,000+ *
	When we start working together, my choice of payment is:	Please Select Check PayPal Other Credit Card *
	You may use my success story to inspire others after I have achieved the success I was looking for.	Yes No *
	My first choice for a session is:	Please Select Monday from 2 to 5pm EST Monday from 5 to 9pm EST Monday from 9 to 11pm EST Tuesday from 2 to 5pm EST Tuesday from 5 to 9pm EST Tuesday from 9 to 11pm EST *
	My second choice for a session is:	Please Select Monday from 11am to 2pm EST Monday from 2 to 5pm EST Monday from 5 to 9pm EST Monday from 9 to 11pm EST Tuesday from 11am to 2pm EST Tuesday from 2 to 5pm EST Tuesday from 5 to 9pm EST Tuesday from 9 to 11pm EST *
	What area of building a successful business is your #1 prioirity?	Please Select Focus and make quicker decisions Improving profit and personal income. Get more long term, affluent clients. Have business be independent of you. Learn now to marketing differently. Create alliances and partnerships. Need more time. Have to find good people. Consistant operational performance. Find more great clients. Learn how to work smarter, not harder! Create a better admin team. Increase cash flow Create and sell products. Systematize everything possibl! Get back the passion I've lost Increasing my Internet presence. None of the above. *
	What has been your tendency in the past with regards to seeking the help you need to build your business?	*
	My profit last year was this number.	*
	Next year and five years from now, I want my income to be these numbers:	*
	Why do you believe that you would be a good candidate for our Business coaching/consulting/training program now?	*
	Please tell us a little more about the areas of your business that you want to experience the greatest breakthroughs?	*
	What do you expect from our coaching relationship?	*
	Have your worked with any other coaches? Please elaborate:	*

Our Clients

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19906 Hamilton CT NE Suite A, Poulsbo, WA 98370
Office: 360-271-8418