Launch – Client Intake Survey

Exponential Growth Strategy

Get to Know You & Planning Form

Kristina Marie l Exponential Growth Expert

1. Full Name:*

2. Best Shipping Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

3. Best Gmail Email:*

4. Birthday:*
Date Format: MM slash DD slash YYYY

5. What’s your favorite book?*

6. What’s your favorite place you’ve visited?*

7. What’s your favorite movie of all time?*

8. Who’s your favorite musician?*

9. What do you believe is your super power?*

10. What 2 archetypes best describe yourself?*
Please reference this page for archetypes descriptions: http://www.sparkol.com/engage/the-12-brand-archetypes-all-successful-businesses-are-built-on/

11. Why did you say “Yes” to allowing us to support you?*

12. What are your biggest problems you are trying to solve in your business?*

13. What are the Top 3 things you want to let go of in our time together?*

14. What is your BIG audacious vision that you see for your next level in your business? Please be as specific as possible.*

15. What fears, thoughts, resistance or doubts are coming up for you on taking action on this plan or moving forward with this vision. Share everything and anything.*

16. What EXCITES you The Most about this new expansion of your business? Share everything, little or HUGE.*

17. What are your ideal client’s biggest fears?*

18. What is your current offering? Link to a sales page, pdf or simply right the outline of what is included in the course here.*

19. What are the TOP 3 Things you want to create & implement in our time together?*

20. Please share anything else you’re thinking about, have questions on or need clarity or direction on that is coming up for you right now.*

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*If you have any problems submitting this form, please email kristina@kristinamarie.com and a team member will follow-up with you!*

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