Business Alignment Blueprint Intake

Section 1 - Personal Information

First Name

Preferred Name (If Different From Above)

Last Name

Email *

Phone

Time of Birth (*If exact time is unknown, please note "Unknown*)

Date of birth

Country of Birth

City of Birth

Section 2 - Business Details

Business Name *

Date Your Business Officially Began (i.e date of registration, first sale, or the moment you claimed the name)

Location Where Your Business Began

Have you ever rebranded or changed the business name? If yes, please list past names and approximate dates

Business Website or Business Page

Social Media Links

Section 3 - Branding & Visual Identity

Please Attach Your Logo

If your branding has a story or symbolism, please share it.

Section 4 – Goals & Challenges

What are your top 3 business goals for the next 6–12 months?

What’s your biggest current struggle in business?

On a scale of 1–10, how aligned do you feel with your business right now?

UnalignedFully Aligned

Where do you feel most "in sync" in your business?

Where do you feel most "out of sync" in your business?

Section 5 – Marketing & Workflow

Other Marketing Channel(s) Used:

Section 6 - Additional Information

Is there anything else you’d like me to know about your business, energy, or personal journey?

How did you hear about the Business Alignment Blueprint?

Section 7 - Payment Information

**Please Note, Full Payment or Payment 1/3 Due Upon Booking **

Payment Link for Full Payment of $333US

https://www.paypal.com/ncp/payment/HBBLXXUDTZCDQ

Payment Link for 3 Payments of $111US
https://www.paypal.com/ncp/payment/RJ9BLTS3TJ6RE
1st Payment Due on Booking
2nd Payment Due After Discovery Session
3rd Payment Due Before Receiving Blueprint