Get Acquainted Questionnaire

Please select the program or programs you are interesting in finding out more information on. If you are unsure which program is best for you, don't worry, just select the last box and we can discuss all your options during the Get Acquainted call. *

VIP ProgramImage ConsultingPersonal Branding ProgramI'm not sure

Personal Information

First Name (required)

Last Name (required)

Address

Street

City

State / Province / Region

Postal / Zip code

Home/Work Phone

Cell Phone

Your Email (required)

Skype (if outside US) (required)

If you would like to use Skype of the Get Acquainted Call, please enter your Skype name here

Briefly describe your business (one sentence will be sufficient)

What obstacles, challenges or struggles do you regularly come up against with your business image?

What have you done to deal with these challenges? What’s worked? What hasn’t?

What have they cost you over time, in terms of money, time, missed opportunities?

What 3 goals would you like to achieve with your current image?

How would achieving this together make a difference in your professional and personal life?

Assuming the fit is right, are you emotionally and financially prepared to invest in consulting services?