The easiest way to utilize this form is to
ENROLLMENT FORM – AYHB PROGRAM
Cell Phone #:
Years in Biz:
Getting to know you…
Describe your biz:
What is your full-time job?
What services/products do you currently offer?
What are some of your current challenges, obstacles or roadblocks in your biz/life?
List 3 short-term goals you would like to work on with measurable results – in the next 3 mos.?
What would you like to work on in the next 6 months? (Keep it realistic but reach a bit!)
Where do you want to see your biz in the next 12 mos.?_____________________________________________________________________________________________________________________
CURRENT BILLINGS: Under $30K _______ $31K - $75K ______ $76K+ ______