Please fill in the 12 Week Accelerator Assessment form below and press submit when finished. We’ll email a copy to you for your records.

If you have any questions about the assessment, click here to send me an email.

First Name *

Last Name *

Email *

Website Address

Number of years in the speaking business. Part time? Full time?

What is your area of expertise? (Topic) Don’t worry if you don’t have this nailed down yet.

Is there anything important that we should know about you?

What would you consider your strengths? (ie: strategy, platform skills, writing, etc).

What are your current speaking fees? (Not to worry if they aren’t firmly set yet)

What is your fee goal? What would you like to be charging 5 years from now?

How many presentations have you given in the past 12 months?

What percentage of these presentations were freebies?

What do you think the number 1 challenge in your business is? (in a nutshell)

If you were referred by a friend or colleague, please list their name for our referral program.

If we were meeting again 3 months from today, what will have changed in your business for you to be happy with your progress?

What would your fear or concern be? (ie: staying stuck, getting burned)

Website: Is it ready?

Yes No

Website: Is it working to get you booked?

Yes No

Website: additional comments

Sales effort: Are you currently taking action to drum up business?

Yes No

Sales effort: How would you rate your sales strategy? Rate yourself below on a scale of 1-10 (10 being the best)Please select one12345678910

Products: Please list your products (books, audio, online training, etc)

Spin off: Are you currently getting additional paid engagements after every presentation? Rate yourself below on a scale of 1-10 (10 being the best)Please select one12345678910

Focus: How many things do you juggle (well) at the same time? Rate yourself below on a scale of 1-10 (10 being the best)Please select one12345678910

Presentation skills: What overall rating would you give your speech?Please select one12345678910

What do you most want to get out of your one-on-one time with your coach?

Additional Comments