http://www.psm-marketing.com Are You a Good Candidate for Individual Sales and Marketing Coaching? Question Title * 1. Please take a moment to tell us who you are: Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 2. What title or industry best describes you? Lawyer Financial Advisor CPA Contractor Non-Profit Small Business Other - Please identify below Other: Question Title * 3. How many years have you been in business? 1-3 4-7 8-12 13-17 18-25 Over 25 Question Title * 4. How motivated are you to increase your revenue? Extremely Very Somewhat Not very Not at all Question Title * 5. How motivated are you to build relationships with new contacts? Extremely Very Somewhat Not very Not at all Question Title * 6. How confident are you that you are fully serving your existing clients or customers with all -- or most -- of the services you offer? Extremely Very Somewhat Not very Not at all Question Title * 7. How active are you in building your reputation in the community (volunteering, speaking writing articles)? Extremely Very Somewhat Not very Not at all Question Title * 8. How happy are you with your personal income? Extremely Very Somewhat Not very Not at all Question Title * 9. In an average week, how many hours do you spend on marketing? Over 10 hours 5-10 hours 2-4 hours 1-3 hours Very little Question Title * 10. If you work with a PSM marketing coach, how many hours would you be willing to dedicate to your marketing efforts per week? Over 10 hours 5-10 hours 2-4 hours 1-3 hours Very little Question Title * 11. How willing are you to be held accountable to reaching your sales and marketing goals? Extremely Very Somewhat Not very Not at all Question Title * 12. If you were to give yourself a letter grade on your current personal sales and marketing initiatives, what grade would you give yourself (be honest)? A B C D F Question Title * 13. What are your biggest challenges in sales and marketing? Question Title * 14. What have you tried in the past that has NOT worked? Question Title * 15. How many years do you plan to continue working in your business? 1-3 4-7 8-12 13-17 18-25 Over 25 Question Title * 16. If 5 or less, do you have a business succession plan? Yes No I really should Question Title * 17. Anything else we should know about you? Done