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What is your top priority for your business?


 
Approximately how many full-time employees currently work at your company in addition to you (excluding service providers such as lawyers, accountants, or marketing consultants)?


 
Which of these best describes the current stage of your company?


 
What is your current annual revenue (or outside investment)? (optional)


 
Briefly describe why you are a good candidate for a Mastermind, and what you feel you would bring to the group?

 
Which types of groups would you consider joining?


 
Who or what is your biggest obstacle in reaching your current goals?

 
Imagine it's a year after you joined a mastermind group. Everything you dreamed of happening has happened. What does your career, practice or business look like? What are you earning? How are you earning it? How has it changed your life, your relationships, your freedom, control and ability to do what lights you up on your terms? Close your eyes and see it in detail. Now share it below.

 
How badly do you want what you just shared to be your reality?

 
Your first name *

 
Your last name *

 
Your city and state *

 
Your job title *

 
Name of your company *

 
Your business website