::Black CEO::

First Name *

Last Name *

Email (same as used to book call) *

Mobile Phone Number

What is your business URL? Put N/A if you don’t have one *

Tell me briefly about your business? We actually read what you wrote because we care. *

What is your current
Brand Status? *

I need a new brand

I need a brand refresh

I need someone to review my brand

Help people dont understand my brand

On a scale of 1-10 (1 being I’m fine where I am and 10 being I’m totally committed to
reaching my revenue goals.) What number are you? *

Briefly describe how you are marketing your product/services right now *

Be 100% honest what do you think is stopping you from hitting your revenue goal?
(The more specific you are here the faster we’ll get you clarity during our call together) *

Are you running Facebook Ads?

Yes No

Are you running Automated Webinars a minimum of 5 times a week?

Yes No

Do you have a fully functional marketing funnel in place that is generating consistent leads AND SALES?

Yes No

What tools are currently paying for in relationship to your business? Ie... clickfunnels, mailchimp, infusionsoft, webinarjam, zoom, etc. Additionally do you fell you are using these tools to their max potential? *

What is your current monthly revenue? *

$10000 Drag bar left to change

What’s your revenue goal for this year? *

$10000 Drag bar left to change

Transparently speaking whats one thing that you are willing to do differently? *

Are you willing to use a credit card, paypal credit or bank wire if you feel it’s what you need? *

Yes No

Do you have a business partner you need to run decisions by? (If so they should be on the call) *

Yes No

Are you ready to move forward on the call IF YOU and I decide you’re a good fit for the Extreme Business Makeover (If you're not a good fit I will let you know and refer you to someone else) *

Why are you a good fit for the Extreme Business Makeover? Due to the limited amount of spots available we would like to know what is special about you? *

Our program specializes in putting in place your brand, marketing, automation, and online advertisement systems to help small businesses achieve their revenue goal. We tell our clients its a meaningful investment to get everything setup, running, and bringing in real results. It’s not the cheapest solution but it will set you up for long term success. With this understanding are you willing to to invest financially to reach your goal. *

Yes No

Moment Of Truth: Are you

Serious or

Curious?

I understand that failure to show for my appointment with the selection committee is an automatic 6 month disqualification for the Extreme Business Makeover Program ? *

Extreme Business

MakeOver Application

What is your current
Brand Status? *

If accepted
how soon could
you get started?

What is your current Brand Status? *

If accepted how soon could you get started?

What is your current
Brand Status? *

If accepted
how soon could
you get started?