5-Minute Questionnaire
Hi!  I'm Kim Romaner.  Thanks so much for agreeing to answer a few questions which will help me to deliver the support you need to turn your dreamed of possibilities into reality! Let's get started!
1
First Name
Email
2
Right now I'm trying to achieve goals in my:
Personal Life
Business life
Both
3
My goals are related to (check all that apply):
Generating more income
Starting a business
Growing my business
Managing my business better
Getting better results from my team
Navigating a life or business transition
Ensuring a comfortable retirement
Improving family relations
Finding a mate
Improving my health and vitality
Achieving peace and tranquility
Re-discovering happiness
Creating adventures and new experiences in my life!
Other, please specify
4
The absolutely most important one of these is (choose one):
Generating more income
Starting a business
Growing my business
Managing my business better
Getting better results from my team
Navigating a life or business transition
Ensuring a comfortable retirement
Improving family relations
Finding a mate
Improving my health and vitality
Achieving peace and tranquility
Re-discovering happiness
Creating adventures and new experiences in my life!
Other, please specify
5
What would be most helpful to me right now would be:
1
Least Helpful
2
 
3
Somewhat Helpful
4
 
5
Most Helpful
N/A
 
Help in designing a plan to achieve my goal.
Having an accountability partner to keep me on track.
Hard busines advice regarding marketing, sales, finance, etc.
Executive mentoring to improve my personal or professional results.
Coaching for my team to help them develop new methods for achieving their goals.
Regular inspiration and uplifting messages about my power to make things happen.
Getting connected to necessary resources to achieve my goals.
Help getting out of my own way and reducing self-sabotage.
Encouragement to take smart risks and step out in brave new ways.
Belonging to a group of people in my same situation who can support each other.
6
I am
Male
Female
7
I am:
A solopreneur.
A small business owner with employees.
A homemaker.
A corporate professional.
Re-entering the workforce.
Other, please specify
8
This is what else I would like you to know about me and my current situation, Kim:

Thanks so much for answering this brief questionnaire!  Your response is deeply appreciated.  

 

I look forward to serving you! --Kim