City, State, Zip:
Describe your clients:
What are the titles of the people who hire you?:
Describe where your targets are located:
Describe your referral sources:
Organizations in which you are involved:
Other interests (i.e., hobbies, sports, etc.):
Areas you would like to improve (check all that apply):
Writing a business development planExpanding existing clientsDifferentiationTargetingIdentifying new marketsBrandingMeeting new prospectsSocial mediaPublic speakingWebinarsSeminarsFinding organizationsWorking a roomCommunicating the value you offerMaking introductory offersPitchingClosingQuoting feesFollow-upContact managementRelationship maintenance offersCross-sellingPublishingBloggingClient alerts/updatesLeadershipInnovationCharismaDelegationProductivity
Obstacles you would like to overcome (check all that apply):
Too busyFear of appearing needyFear of harming relationshipsShynessNo interest in biz devToo young/too oldDoing business with friends
Submit this form to (choose one person):
Click here for our list of coaches.
Jill Rose Kohn, Ph.D.
Jan C. Gabrielson
Scott Symington, Ph.D.
Melissa Udell, Ph.D.
Victoria Romero, Ph.D.
Marty Nislick, M.A.
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