ABOUT
MACSWOMEN | Vision Mission Values
LETTER FROM OUR FOUNDER
TERMS
PRIVACY POLICY
SERVICES
SHOP
BLOG
Schedule a call
ABOUT
MACSWOMEN | Vision Mission Values
LETTER FROM OUR FOUNDER
TERMS
PRIVACY POLICY
SERVICES
SHOP
BLOG
Schedule a call
CONFIDENTIAL - MASTERMIND FORM
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Indicates required field
Name
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First
Last
Spouse's Name
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Business Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Business Phone Number
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Cell Phone
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Years In Current Business
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Spouse is:
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Active In Business
In-active in Business
(Optional) Home Address
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(Optional) Home Number
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Fax
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Briefly describe current business (and attach one brochure, sales letter or other document representative of your business):
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Upload File
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Max file size: 20MB
Please rank each of the following marketing-oriented items according to the difficult or challenge
they currently represent to you; rank EACH ONE on a 1-5 scale, 1=Insignificant, to 5=Very
Significant. ALSO, number the ten most important items to you 1-10, 10=most important.
No.
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Ranking
Advertising effectively
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1
2
3
4
5
Generating sufficient QUANTITY of leads/clients
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1
2
3
4
5
Generating satisfactory QUALITY of leads/clients
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1
2
3
4
5
Converting leads to sales/clients
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1
2
3
4
5
Client retention
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1
2
3
4
5
Controlling costs of advertising, lead generation, client acquisition
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1
2
3
4
5
Stimulating repeat business from clients
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1
2
3
4
5
Stimulating referrals from clients
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1
2
3
4
5
Clarifying my USP, Positioning, Marketing Messages
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1
2
3
4
5
Creating compelling offers
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1
2
3
4
5
Responding to marketplace changes, competition
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1
2
3
4
5
Taking advantage of new opportunities, new technologies
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1
2
3
4
5
Please rank each of the following business and financial-oriented items according to the difficulty
or challenge they currently represent to you; rank EACH ONE on a 1-5 scale, 1=Insignificant, to
5=Very Significant. ALSO, number the ten most important items to you 1-10, 10=most important.
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Finding time to implement new/improved marketing strategies
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1
2
3
4
5
Getting employees and/or associates “on board” with my marketing approach
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1
2
3
4
5
Clarifying and staying on track toward definite goals and objectives
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1
2
3
4
5
Managing my time
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1
2
3
4
5
Conquering procrastination
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1
2
3
4
5
Hiring/training/managing employees
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1
2
3
4
5
Monitoring and evaluating important data, statistics, information in my business
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1
2
3
4
5
Setting, selling and commanding premium prices for my products/services
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1
2
3
4
5
Select One
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Option 1
Option 2
Option 3
Maintaining satisfactory business profits
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1
2
3
4
5
Extracting sufficient money from my business to wisely invest, build wealth
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1
2
3
4
5
Taking a satisfactory amount of time off, away from my business
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1
2
3
4
5
Having a long-term retirement/exit strategy
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1
2
3
4
5
Do you regularly or frequently use:
Direct mail
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Yes
No
E-mail
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Yes
No
Radio/TV advertising, local
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Yes
No
Publicity/news releases, national
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Yes
No
Referrals
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Yes
No
Personal networking
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Yes
No
Voice broadcast
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Yes
No
Print media advertising, local
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Yes
No
Radio/TV advertising, national
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Yes
No
Print newsletter
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Yes
No
Social media
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Yes
No
Telemarketing
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Yes
No
Web site
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Yes
No
Print media advertising, national
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Yes
No
Publicity/news releases, local
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Yes
No
E-zine
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Yes
No
Joint ventures with other businesses
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Yes
No
How many marketing strategies or systems do you have in place that consistently generate new
business for you?
How many marketing strategies or systems do you have in place that consistently stimulate
repeat business, lock in continuing or renewable income and/or stimulate referrals?
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Describe 3, 4, or 5 major goals you are working on:
Goal 1
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Goal 2
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Goal 3
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Goal 4
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Goal 5
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Describe 3 major sources of stress, frustration or unhappiness that interfere with your
productivity and rob you of peace of mind:
#1
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#2
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#3
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Your Schedule
Number of hours you work, average week
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Number of hours you’d prefer to work, average week
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% of work-time you rank as productive
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No. of hours per week you work “on” vs. “in” your business
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No. weeks vacation taken: 2013; 2014; 2015
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No. weeks vacation you’d prefer taking
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Rank yourself in direct marketing experience: (Check one)
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Very knowledgeable; serious student; very active in using strategies
Very knowledgeable; serious student; but not very actively implementing
Somewhat knowledgeable, actively implementing
Somewhat knowledgeable but not very actively implementing
A relative novice
Why do you want to participate in the Mastermind coaching program?
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Imagine that it is September 30, 2016, and answer the following question: What one thing happened in 2016 that makes me feel that I have moved my business forward?
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Email
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