Dynamic Zenergy

1. What is the size of your business? (Revenue = Annual revenue excluding GST):: A (Between 1 and 4 employees. Revenue < $5 million)
B (Between 5 and 19 employees. Revenue > $5m and < $10m)
C (Between 20 and 200 employees. Revenue > $10 million and < $25 million)
D (Other: Please specify)
D (Other: Please specify):
2. What is your position in the company?:: A (Business Owner)
B (Manager, Not the Owner)
C (Employee, Not a Manager)
D (Other: Please specify)
D (Other: Please specify):
3. What are your main business concerns? Please specify your top 3 business concerns:
4. When do you want to see some improvements in the concerns you specified in Question 3?:: A (Within 30 days)
B (Within 60 days)
C (Within 90 days)
D (Other: Please specify)
D (Other: Please specify):
5. How much are you willing to spend on a monthly coaching program if it will help you to solve the concerns you specified in Question 3?:
6. Which topics appeal to you the most?:: A (Foundation Plan – Business Vision, Business & Personal Goals, Business Values, Business Blockages, Strategic Plan)B (Growth, Operations & Scale – Accountability, Sales & Marketing, Employee & Culture, Systems & Innovation, Budgets & Cash Flow)C (Exit & Succession Plan – Exit Goals, Business Valuation Gap, Business Readiness, Personal Wealth, Personal Welfare, Life After Exit)
7. What other topics are you interested in learning about?:
8. Can you relate to any of these statements (choose all that applies)?:: A (You feel like you are a slave to your business and have just created another job for yourself)B (You want to sell the business & want to create a plan to maximise the selling price)C (You have identified the problem but not sure how to go about fixing it)D (You want to give your business a boost e.g. increase sales/profitability, improve staff productivity)
9. Do you have any suggestions to assist us in converting the program from in-person (face to face) sessions to online coaching training program/virtual sessions?:
10. Are you using Xero accounting software in the business?:: Yes
No
Other (Please specify)
Other (Please specify):
11. Expression of interest:: I want to find out more information about the program
I want to participate in the small beta pilot group
I am not interested
12. Company Name:
13. City/Town:
14. State/Province:
15. Country:
16. Email Address:
17. Phone Number (Please specify STD area code, IDD and country code if applicable):

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