Discovery Session with Sharon Jurd - Coaching "*" indicates required fields 1. Are you male or female?* Male Female I'd rather not say 2. What is your age?* 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older 3. How long has your business been operating?* 0-1 year 2-5 years 6-10 years 11-20 years more than 20 years 4. What is the gross income of the business per year?* $0-$100,000 $100,001-$250,000 $250,001-$500,000 $500,001-$1 million $1 million-$5 million $5 million-$20 million Greater than $20 million 5. How many team members do you have?* 0 1-5 6-10 11-25 26-50 51-100 101-200 201-500 Greater than 500 6. What are your biggest challenges in your business? (Choose all that apply)* Income Profit New Clients Current Clients Team & Culture Time Management Business Growth Sale of Business Customer Experience or Service Other (please specify) 7. What would you like to focus on in your business in the near future?* 8. Have you had a business coach work with you and/or your team previously?* Yes No 9. Contact Information* 9. Contact Information (Company)* 9. Contact Information (Address)* 9. Contact Information (City/Town)* 9. Contact Information (State/Province)* 9. Contact Information (ZIP/Postal Code)* 9. Contact Information (Country)* 9. Contact Information (Email Address)* 9. Contact Information (Phone Number)* 10. Thank you for your time to complete this form. A team member will contact you very soon to arrange a time to meet up with Sharon. You may leave any additional comments in the text box below. then click on the 'Done' button to send your request.CAPTCHA Δ
