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First Name
Last Name
Email
What is the business name?
What is the business website URL?
What industry/vertical(s) are you in?
What space are you selling into?
B2B
B2C / SMB
Who is your ICP? What are their titles?
Have you raised any money?
Please Select Your Answer
Yes
No
Currently Fundraising
If YES, you have raised money. How much in total?
Please Select Your Answer
< $500K
$500K - $1M
$1M - $5M
> $5M
Have you went through an accelerator/startup program?
Please Select Your Answer
Yes
No
Applying Now
Just Accepted
If YES, I went through an accelerator/startup program -- which one?
Please Select Your Answer
Y Combinator
Techstars
Thiel Fellow
500 Startups
Angelpad
Other
How are you generating top of funnel activity?
LinkedIn
Personalized Emails
Cold email Drip Campaigns
Content
Internal Network - Intro & Referrals
How many sales calls are you generating weekly?
Please Select Your Answer
None
1-3
4-6
7-10
10+
How big is your sales team?
Please Select Your Answer
Just Me
1-5
6-15
16+
Do you have any paying customers?
Please Select Your Answer
Yes
No
If YES, how many customer's do you have?
Please Select Your Answer
<10
11-25
26-50
50+
Do you have Product Market Fit? (PMF)
Please Select Your Answer
PMF Established
Strong Indication
Little Indication
No Indication
How are you selling your product or service?
Doing it Myself
Sales Team
Ads (FB / Google / Linkedin)
No Sales Yet
How long is your sales cycle?
Please Select Your Answer
1-7 Days
8-21 Days
22-45 Days
46+ Days
Not Sure
What is your average deal size? (Please write number in box)
What are your biggest challenges? (Check all that apply)
Lead Generation
Discovery / Qualification
Demo / Presenting
Closing
Handling Objections
When are you looking to take action and fix this?
Please Select Your Answer
ASAP
1-2 Weeks
Over The Next Quarter
Sometime this Year
Not Sure
Do you have working capital that you can invest into fixing the problems mentioned above today?
Please Select Your Answer
Yes, I have money to invest in my business right now.
No, I don't have money to invest in my business right now.
I don't have the money now, but I can get it if I feel this can help my business.
At the conclusion of an engagement what would be your desired result?
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