Borrow My Brain Intake Form

Thank you for registering for the "Borrow My Brain" consulting session.

1) Please complete the "Borrow My Brain" Intake Form below.

2) I will follow up with a personal email within 48 hours of receiving your completed Intake Form to schedule our session and go over specifics.

I promise to provide outstanding value in both my preparation for your session and during the session itself.

I look forward to helping you move from DREAM to DO as a speaker.

- Kent Julian

Name *

First

Last

Email *

Best Phone Number *

Your Website / URL

How did you hear about Kent Julian and the Paid to Speak programs/services *

Briefly describe your speaking brand or business *

Describe the primary purpose of your speaking brand or business in 1 to 3 sentences *

What are 3 things you'd like to accomplish with your speaking brand or in your speaking business during the next 12 months? *

What roadblocks or challenges are you facing in your speaking brand or business? *

What are the top 5 questions (in order of importance) you'd like answered during our consultation? *

How would you rate your effectiveness in marketing? *

How would you rate your effectiveness in speaking/presenting? *

How would you rate your effectiveness in writing? *

Please list website urls, social media handles, or any other resources you would like me to review before our consultation.

Please share any comments or insights that will help me prepare for our consultation.

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