private consulting application Anderson 365

Complete Contact Information / Profile

* Indicates required field

Name *

First

Last

Spouse Name *

First

Last

Business Name *

Business Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Option: Home Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone Number *

Option Home Phone Number *

Email *

Please rank each of the following marketing-oriented items according to the difficulty or challenge they currently represent to you; rank EACH ONE on a 1 - 5 scale, 1= insignificant, to 5= Very Significant.

Please rank each of the following business and financial oriented items according to the difficulty or challenge they currently represent to you; rank EACH ONE on a 1-5 scale, 1= Insignificant, to 5= Very Significant.

Do You Regularly Or Frequently Use:

Live Webinars *

Yes No

Recorded Webinars *

Yes No

Speaking To Get New clients *

Yes No

Social Media Content Creation / Posting *

Yes No

Paid Advertising across any of these social platforms. Instagram, Facebook, Tik Tok, Linkdein, YouTube, Twitter aka X *

Yes No

Email Marketing *

Yes No

Direct Mail *

Yes No

SMS / Text Messaging *

Yes No

Broadcast voice messaging *

Yes No

Print / Digital Advertising, Local *

Yes No

Print / Digital Advertising, National *

Yes No

Radio / TV advertising Local *

Yes No

Radio / TV advertising National *

Yes No

Publicity / News Releases, Local *

Yes No

Publicity / News Releases, National *

Yes No

Newsletters *

Yes No

Joint Ventures *

Yes No

Attending Networking Events *

Yes No

How many marketing strategies or systems do you have in place that consistently generate new business for you? Enter number below *

How many marketing strategies or systems do you have in place that consistently stimulate repeat business, lock in continuing or renewable income and/or stimulate referrals? Enter number below *

Personal and Professional Background

Age *

Years in current business *

Family *

Married Single

If married spouse is (check one): *

Very active in business Somewhat active, very supportive Inactive but supportive Inactive, disinterested

What is your income goal for this year *

Briefly describe your current business *

Describe 3, 4 or 5 major goals you are working toward: *

Describe 3 major sources of stress, frustration or unhappiness that interfere with your productivity and rob you of piece of mind *

List the books that have had a profound impact on your life, and describe the most significant information and ideas gained from one of them *

Your Schedule

Number of hours you work, average week *

Number of hours you'd prefer to work, average week *

% of work-time you rank as productive *

Number of hours per week you work "on" vs. "in" your business *

Number of weeks of vacation taken last year: *

Number of weeks vacation you'd prefer taking: *

Rank yourself in Direct Marketing Experience: (Mark One) *

Very knowledgeable; serious student; very active in using strategies Very knowledgeable; serious student; but not very actively implementing Somewhat knowledgeable, actively implementing Somewhat knowledgeable, but not very actively implementing A relative novice

Why do you want to participate in this Private 1 to 1 experience and have Eric Anderson personally hold your hand and guide to success? And, why do you think you are a good candidate? *

Submit your application now

Eric Anderson 365 Private Consulting Confidential New Client Application

Complete Contact Information / Profile