Get Acquainted Questionnaire

Please select the program or programs you are interesting in finding out more information on. If you are unsure which program is best for you, don't worry, just select the last box and we can discuss all your options during the Get Acquainted call. *

The VIP ProgramThe Gold ProgramThe Platinum ProgramI'm not sure

Personal Information

Your Name (required)

Your Email (required)

Skype (if outside US) (required)

If you would like to use Skype of the Get Acquainted Call, please enter your Skype name here

Home/Work Phone

Cell Phone

Address

Street

City

State / Province / Region

Postal / Zip code

Please select the program or programs you are interesting in finding out more information on. If you are unsure which program is best for you, don't worry, just select the last box and we can discuss all your options during the Get Acquainted call. *

Personal Information

Address

Briefly describe your business (one sentence will be sufficient)

What obstacles, challenges or struggles do you regularly come up against with your business im-age?

What have you done to deal with these challenges? What’s worked? What hasn’t?

What have they cost you over time, in terms of money, time, missed opportunities?

What 3 goals would you like to achieve with your current image?

How would achieving this together make a difference in your professional and personal life?

Assuming the fit is right, are you emotionally and financially prepared to invest in consulting services?

Kelly, SVP

Sheila Gothmam, Nonprofit Executive

Steve Blexrud, Generation Group

Kari Bjorhus, VP Global Communications

Kathleen Watson, Entrepreneur

Beverly Nowakowski, Photographer

Kelsey P., Marketing Associate

Reid Kirby, Principle, Preneur.Media LLC.

Lori Lance, Managing Partner of AEEB, Inc.

Darla Preble, CEO Health Care

Katie O’Hearn, Supervisor

Tamie Ward, Book Keeping with QuickBooks!, TLW & Associates, Inc.

Cindy Ojczyk (“o-check”), Interior Designer

Dara Beevas, Author & Speaker

Lori L., Armbruster Employee Benefits

Kelsie Brust, Litigation Contractor, Medtronic

Louise Griffith, Author of “You Are Worth It

Wendy Blomseth, Minneapolis-St. Paul Business Journal

Tasha Soundara , President of Twin Cities Women’s Council of Realtors

Christine Clifford, CEO/President of Divorcing Divas, Author of Let’s CLOSE a DEAL! Turn Contacts Into Paying Customers for Your Company, Product, Service or Cause

Lisa Saline, President Metro Chapter, Mainstreet Chamber

Susan Fronk President, Twin Cities Chapter, MainStreet Chamber

Rebecca Metz Owner, Modern Inconveniences

Dean Dirkes VP of Commercial Lending CMCU

Gayle Cartier, Entrepreneur

Vitalia Bryn Pundyk, M.ED./DTM, Power Talk Seminars, LLC

Please select the program or programs you are interesting in finding out more information on. If you are unsure which program is best for you, don't worry, just select the last box and we can discuss all your options during the Get Acquainted call. *

Personal Information

Address

Briefly describe your business (one sentence will be sufficient)

What obstacles, challenges or struggles do you regularly come up against with your business im-age?

What have you done to deal with these challenges? What’s worked? What hasn’t?

What have they cost you over time, in terms of money, time, missed opportunities?

What 3 goals would you like to achieve with your current image?

How would achieving this together make a difference in your professional and personal life?

Assuming the fit is right, are you emotionally and financially prepared to invest in consulting services?

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