[phm-form]My name is . I am in business for myself because . The secret to my success, or what I know will be the secret to my success, is . I have been in business years and my target market is . My primary method for getting business is through . My sales last year were . My projected sales for this calendar year is .

My business’s core differentiation (what makes it unique and more compelling than any others in my field) is . The message I convey to my market is . Two words that would describe my brand identity are: and . I have, or am planning to have, a free Signature Talk as a portal into my business and its unique lesson is . I am pleased with the conversions I get for this program: Y/N/NA .

I have, or am planning to have, a Signature Program, the paid event I am known for, and it teaches (or will teach) these top 2 fundamental and unique lessons and . I am skilled at curriculum design and adult learning principles: Y/N . I am skilled at public speaking: Y/N .

To achieve my projected sales, I have a suite of progressively priced programs for sale (least expensive to most) consistent with my brand message. It begins with my Signature Program and extends into progressively more expensive and more time-intensive programs. Including the Signature Program, the formats of these programs (virtual workshop, 1-1 for specific duration, live event, membership program, home-study, etc.) are, respectively, , , . Their subject matters, respectively, are , , . Their pricing, respectively, is , , . I am pleased with the conversions I get for these programs: Y/N/NA .

I have (or know I need) a strategic marketing funnel that includes at least one free product. Its format (ebook, video training, assessment e-course, etc.) is and its topic is . I am pleased with the conversions I get for this free product: Y/N/NA . I am skilled at copywriting: Y/N .

I also have one paid product in my marketing funnel whose format is ; whose topic is ; and whose price is $. I am pleased with the conversions I get for this paid product: Y/N/NA .

As part of my marketing funnel, I also offer free consulting calls to qualify private clients: Y/N/NA . I am pleased with the conversions I get on these private calls: Y/N/NA .

For visibility:
I use Facebook consistently: Y/N .
I use LinkedIn consistently: Y/N .
I use Twitter consistently: Y/N .
I use YouTube and other video channels consistently: Y/N .
I blog consistently: Y/N .
I network locally consistently: Y/N .
I speak consistently (online or in-person): Y/N .
I advertise online or off consistently: Y/N .
I have a solid group of joint-venture/referral partners who promote me consistently: Y/N .
Of all of these promotional strategies, affords me the best results.

When I am fully actualizing my potential, my sales per year will be $ and I will be transforming # of people per year hands-on (personally) and # of people per year remotely (through books, home-study programs with no access to me, keynote speaking, etc.). My great mission—the reason I know I am here– is to awaken people to this truth and inspire them to take this action .

Finally, I know that mindset and habits are essential to being highly successful. Here are two habits that consistently sabotage my success that I know I must change to reach my potential: and . I indulge these sabotaging habits because they benefit me in these ways: (Habit 1) ; (Habit 2) . Here are two beliefs I have that that consistently sabotage my success that I know I must change to reach my potential: and . I haven’t changed these beliefs because .

I am fully committed to making those changes and having a successful business!! Y/N:

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