Registration form for:

Name*
Last name
Company name
Website(s)
E-mailadres*
Skype name
1. Describe your current company. (service, market, customers, income streams, turnover 2016, successes, failures etc.) If you do not have a business yet, describe what you would like to do online.*
2. What is currently your biggest challenge or obstacle?*
3. How important is it for you to face these challenges?*
10= very important 0=not important
4. What is the reason this is important to you?*
5. What is your #1 obstacle at this moment that is stopping you?*
6. Describe your ambitions for 2017*
7. Are you ready to invest in yourself?*
8. How important is it for you to achieve your ambitions?*
10= very important 0=not important at all

About your request for consideration
You will receive a copy of your answers in your inbox.