Name
*
First Name
Last Name
Email
*
Phone Number
*
Business Name
Website URL
Social Media Links
What service(s) do you offer?
How long have you been in business?
Less than 6 months
6 months to 1 year
1 to 3 years
Over 3 years
What’s your current revenue per month?
£0-£1K
£1K-£3K
£3K-£5K
£5K-£10K
£10K+
What’s your revenue goal for the next 6 months?
£10K+
£25K+
£50K+
£100K+
250K+
Other
What are the main challenges you’re facing right now?
(Please select all that apply)
What’s currently stopping you from reaching your goals?
How do you currently acquire clients?
(Please select all that apply)
What’s your monthly marketing budget?
£0-£500
£500-£1K
£1K-£3K
£3K+
Are you currently working with a marketing agency or business coach?
Yes
No
Are you ready to invest in scaling your business?
Yes
No
What’s your budget to invest in business growth, coaching, or consulting in the next 3-6 months?
£500-£1K
£1K-£3K
£3K-£5K
£5K+
Have you invested in business coaching or mentorship before?
Yes
No
What are your top 3 goals for your business in the next 6-12 months?
What does success look like to you?
Why are you interested in working with Georgia Jasmin Consultancy?
How committed are you to growing your business?
Extremely committed
Committed, but limited by time/resources
I’m unsure, just exploring options
How much time can you commit each week to implementing strategies and growing your business?
Less than 5 hours
5-10 hours
10+ hours
Are you open to feedback, changes, and being held accountable to achieve your goals?
Yes
No
What would you like to achieve from working with us?
Why should we work with you?
Anything else we should know about you or your business?
By submitting this form, you confirm that you are ready to invest time, effort, and resources into scaling your business.
