Mind Your BusinessMember Intake Form Name * First Name Last Name Email * How are you feeling entering into this program? On a scale of 1-10 (10 being highest), how do you currently feel about your life and business? What are your top three biggest obstacles currently in your work? What do you hope to be able to say about where you are and what has changed one year from now? How many hours, on average, are you working per week? What is your current company revenue? (If you're just getting started, please write $0.) If you could wave a magic wand, what would be different for you? Any other relevant information you'd like to share? Thank you!