Tip Jones Global Coaching/Consulting INTAKE FORM Business Name * Owner/Primary Contact * First Name Last Name Email * Phone (###) ### #### Website http:// Anything else you'd like to share? * What services or products do you offer? * What are your biggest challenges? Marketing Team/Staffing Operations/Systems Starting the business Other What are your Top 3 Goals for the next 6-12 months? * Have you worked with a consultant before? What was your experience? * What support or results are you hoping to gain? * What have you budgeted for a consultant? <$500 $500-$1,000 $1,000-$2,500 >$2,500 What is the best day/time for sessions? * How did you hear about us? Option 1 Option 2 Thank you!