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Ten Four 1-ON-1 Finance Coaching Application

Contact Information

Full Name *

Phone *

Email *

Website / Social Links *

Business Name *

Business Snapshot

Industry *

Years in Business *

Average monthly revenue *

Average monthly profit *

How many employees do you have? (Provide # of employees) *

Financial Readiness

What financial tools do you use? *

What are you currently tracking? *

Have you done any previous finance coaching? *

What are your top 3 financial problem? *

Goals & Commitment

What are your 12 month financial goals? *

Whats currently holding you back? *

Why 1-on-1 coaching? *

Are you ready to invest $12,000? *

what is your commitment level? 1 - least committed & 5 - Most committed *

Final Step

When would you like to start? *

Anything else you'd like me to know? *

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