First Name

Most checked (used) email address

Last Name

What is your cell phone number?

Website URL

Your best social media profile

What is your primary business industry? (For example, do you create products, provide services, or offer coaching?)

How would you describe where you are currently in business? (Choose the one that best describes your situation)? How would you describe where you are currently in business? (Choose the one that best describes your situation)?ENTRY – I’m in the early stages, still figuring out my business model, audience, and offerings. I need clarity before I can move forward confidently.EMERGING - I’ve been in business for 1-3 years. I have a few clients, but my revenue is inconsistent. I need help refining my offers and marketing to grow.EXPANDING – I’ve been in business for a few years. I have steady clients and revenue but need help scaling, optimizing processes, and building consistency.

How long have you had your business? How long have you had your business?Less than 1 year1-2 years3-5 yearsMore than 5 years

What is your primary business goal for the next 3-6 months

How do you currently get clients?

How many paying clients have you worked with in your current business? How many paying clients have you worked with in your current business?01-34-66-1010+

Your (average) monthly revenue in your business? Your (average) monthly revenue in your business?Up to $2000 month / $0-$24,999 year$2000 - $4000 month / $25,000 - $49,000 year$4000 - $8000 month / $50,000- $99,000 year$8000 - $20.000 month / $100,000 - $249,000 year

What has been your highest annual revenue to date (from this business)?

Which of the following areas is currently the hardest part of running your business? Check all that apply. Which of the following areas is currently the hardest part of running your business? Check all that apply. Mindset & Personal Growth – Staying motivated, focused, or maintaining a positive attitude. Persona – Clarifying my brand identity and target audience. Priorities & Planning – Managing time and setting the right goals. Pricing & Packaging – Deciding how to price and package my offers. Promotion & Prospecting – Attracting leads and getting more clients. Process Optimization – Streamlining operations and workflows.

Have you previously worked with any courses, programs, or coaches to grow your business? If so, please share the following: 1. What specific program or coach did you work with? 2. What were your main goals during that time? 3. What results did you achieve (positive or negative)? 4. What did you find helpful or unhelpful about the experience?

Which Private Coaching Experience interests you the most? (Choose the option that best aligns with your current business needs): Which Private Coaching Experience interests you the most? (Choose the option that best aligns with your current business needs):Clarity to Cash® Fast Track Session (*Troubleshooting ONE specific area of your business. Best for you if you're focused on fixing one key issue in your business, such as: Persona, Pricing/Packaging, Prospecting, Process optimization or Promotion)Clarity to Cash® Boost (*Strategic planning, setting, and tracking of your business and revenue goals. Best for you if you're ready to plan, set, and track specific goals to grow your business revenue.))Clarity to Cash® Blueprint (*A step-by-step solution to help you attract your ideal clients and feel confident in your services. Best for you if you're looking for comprehensive support to improve client attraction and service delivery.))

What prompted you to reach out today? What specific challenges or opportunities are you facing that make you feel now is the right time to work with Nefateria?

What would make working with me a transformative experience for your business, and how can I ensure it's the best decision you ever made?

What questions or concerns do you have that we can address to help you determine if this is the right fit for you?

Are you ready to invest in Private Coaching with Nefateria (My programs range from $1000 - $6000 Payment plans are available*) Are you ready to invest in Private Coaching with Nefateria (My programs range from $1000 - $6000 Payment plans are available*)ABSOLUTELY Yes -- I’m ready to make a payment and get started immediately.I need a bit more information – I have questions before I can commit.Other – I’m not able to invest right now, but here’s why I still applied: (explain in next question)

If you selected "Other - I’m not able to invest right now, but here’s why I still applied: " Please explain here ie budget restraints, not the right time etc.

How soon are you ready to start working on solving your biggest business challenge? How soon are you ready to start working on solving your biggest business challenge? Immediately1-3 monthsMore than 3 months

How did you hear about me? How did you hear about me? Referral from another Client Facebook LinkedIn Instagram Live Event Virtual Event Email Podcast Website Other

If you select "OTHER", please share where did you hear about me

Which testimonial resonated with you the most and how does it relate to where you are in your business right now? (Refer to the pre-requisite slideshow on this contact page above this application.)