Name

Phone number (inc. international dialling code)

Email address

Link to your website

Have you read The Freedom Master Plan? Have you read The Freedom Master Plan? Yes No

What industry are you in?

What is your role?

Have you published a book yet? Have you published a book yet? Yes No

If answer is YES (you've already published a book), how have you promoted your book and what are your results so far?

If answer is NO (you haven't published a book yet), what would publishing a book do for you?

If you haven't published a book yet, how soon are you planning on writing your book? If you haven't published a book yet, how soon are you planning on writing your book? Within next month Within next 3 months Within next 6 months Within next 12 months

What has stopped you up to this point?

How much do you invest in your marketing annually? How much do you invest in your marketing annually? Under $1,000 (or equivalent in other currency) Up to $2,500 (or equivalent in other currency) Up to $5,000 (or equivalent in other currency) Up to $10,000 (or equivalent in other currency) $20,000 (or equivalent in other currency) or more

What are the last three professional development courses you have invested in?

Have you ever worked with a consultant (or coach) at any point? Have you ever worked with a consultant (or coach) at any point? Yes No

What would you hope to accomplish during our conversation?