Journey Application - Initial Survey Page

As you begin your journey with us, we would like to know a little more about you and your business.

This is absolutely OPTIONAL, but we would appreciate getting to know you a little more.

Also offers a Grant to companies who qualify. If you wish to Apply for the Grant (only on selected programs),

Please make sure to Mention WS-16 when we talk next.

This short survey should take you a maximum of 5 minutes to complete.

Success should Rime with Pleasure!

As a Successful Entrepreneur, you want personalized Products & Services and you want to have Fun doing What you Do Best! We Are The Same and we want Individuals with the Right Values, the Proper Mindset and the same Commitment to Success as we have!

Please take a few minutes to share a bit of information with us in preparation for our call.

When did you start your business? *

Not started Yet

Less than 1 Yr

More than 1 Yr, Less than 3 Yrs

More than 3 Yrs

Which industry(ies) best describes your business? *

Almost done already!

Describe in one sentence what is your Offer for your clients *

Describe in one sentence who is your ideal client *

Please Confirm which type of program interest you the most? *

Self-starter programs where I can progress at my own pace.

Small Group programs where I can progress with like-minded individuals.

Personalized 1:1 Coaching where I can move fast and have a Coach to guide me.

None of the above

Is there anything else you would like to share with us?

CONTACT INFORMATION:

Full Name *

Email *

Phone *

Company Name (if applicable)

Yes, I want to continue my Journey with SIX:A1.

I agree to terms & conditions provided by SIX:A1, and I would like to receive notifications and newsletters.

Please click to agree *

I agree to receive SMS notifications from SIX:A1 for appointment confirmation and reminders

Please click to confirm, then Submit your Answers

Please make sure to Mention WS-16 when we talk next.

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