*1.What is your full name?(Required.)

*2.What is your email address?(Required.)

*3.Your main website [the one that makes you the most money!](Required.)

*4.Tell me a little about your business. Who are you serving, what are you selling?(Required.)

*5.What is the biggest problem in your business right now?(Required.)

*6.What is your current monthly gross revenue?(Required.)

$7,500 - $15,000 a month

$15,000 - $25,000 a month

$25,000 - $50,000 a month

$50,000 - $100,000 a month

$100,000 + a month

7.What sources can you attribute to creating your revenue? [Tick All That Apply]

Digital Products [Courses, Downloads, etc.]

Coaching / Mentoring / Consulting

Physical Products

Books

Speaking Engagements [Virtual, Live]

In-Person / Virtual Events

Affiliate Marketing / Sponsorships

Others

*8.What is the size of your email list currently?(Required.)

1,000 - 5,000 subscribers

5,000 - 10,000 subscribers

10,000 - 20,000 subscribers

20,000 + subscribers

*9.If we sat down together 3 years from now, what would your life and business look like, in order for you to be fulfilled and happy?(Required.)

*10.Chris' Round Table Mastermind is by application only and there are limited spots. Why do you feel you'd work well with Chris, as a mentor?(Required.)

*11.Should you be approved for the Round Table, are you ready to start taking action immediately?(Required.)

Yes

No

12.Anything you'd like to add, or ask? If so, please use the space below.