Full Name *

Email *

Section 1: Business Snapshot

What was your business revenue in the past 12 months? *

Under $250k

$250k-$499k

$500k-$999k

$1M-$2.5M

$2.6M+

What best describes your current role? *

Founder/CEO

Executive or Senior Leader

Solo Entrepreneur (earning $250k+)

Other (please describe)

What kind of team do you currently lead? *

Contractors/freelancers

Internal team (1-5 people)

Larger team (6+ people)

I don't lead a team yet (but will soon)

Other

What are you most focused on solving or improving in your business right now? *

Section 2: Performance, Profit & Peace Audit

Where do you feel your performance is silently suffering, even when you're "doing everything right"? *

I'm constantly reacting instead of leading

I feel scattered or overstimulated most days

I avoid delegation or big decisions out of fear

I'm burned out from carrying too much

I can't seem to move past a certain revenue plateau

Other (please describe)

Where are your profits getting drained? *

Overdelivering to feel "worthy" of the money

Hiring reactively or out of panic

Low team output because I micromanage or fill the gaps

Time lost to indecision or pivots

Emotional burnout that slows down execution

I'm not sure, but I know I should be earning more for what I give

What part of your leadership or business feels unsustainable right now? *

Section 3: Self-Leadership Readiness

What have you already tried to fix or change this? *

Why now? What's making you seek deeper support at this moment? *

What are you hoping this kind of support would help you experience more of? *