The Miami LLC Pre-Launch Questionnaire The Miami LLC Pre-Launch Questionnaire All responses will be held in strict confidence. With the information you provide us below our hope is to place you in an appropriate group and identify themes that will be the basis for the initial launch. Therefore, please answer honestly and completely. Your Name:*Email:* Age:*Preferred Phone #:*What interests you about the LLC program? What do you want from this forum experience?*Name of current business(s)*Provide a brief description of the business, including the industry/market and your vision for the company (what does success look like for you?)*Number of employees:*Please list your company's revenue for 2017, 2018, and projected for 2019:*Describe your vocational/work dynamic. What are your current responsibilities? What challenges, transitions, and celebrations are you currently experiencing?*Describe your career and entrepreneurial/business experience (# of years as entrepreneur, # of ventures, exits, etc.)*Describe any prior forum, coaching/mentor, therapy or retreat experiences.*Marital Status:*- Select -MarriedSingleSeparatedDivorcedWidowedYears Together:If you have children, please list how many and their ages:Describe the personal issues or transitions you are now facing:*Describe your relationship with your spouse or significant other.*Describe your relationship with your children.Describe your relationship with your parents and siblings.*Describe the quality of your relationships with the people you call "friends."Provide comments on one or more relationships that you know are draining your energy.*Describe your spiritual life.*Forum Commitment. The health of a forum is highly correlated to the individual participants level of commitment. Our hope is that this is not considered a "trial run." In order for this program to be successful, we need each participant to be willing to commit to this program for at least a year (we hope that these forums last even longer). If your forum is not working for you we will support you by helping you get what you want or, perhaps, transition you to another group. Our goal is to place you in a group with a strong fit and provide appropriate training so that you can get what you want from this experience. Our want is for everyone to commit to this program and trust us in supporting you. Please select your honest commitment to this program below. If you are not fully committed right now, that is fine, but we may want to work with you to ensure you are fully committed before launching you into a group.*Fully committed and ready to join a groupStill on the fence and would like to discuss furtherPlease provide any other relevant information:Confidentiality Notice:A copy of your submitted questionnaire will be sent to you at the email address you provide in the following field. You may leave this field blank if you do not wish to receive a copy of the completed questionnaire. Please verify you are human: This iframe contains the logic required to handle Ajax powered Gravity Forms.