Q.1
Please enter your full name here. *



Q.2
Please enter the email address AND the telephone number you want us to contact you with. *

Either Bob or one of his support team will be in touch with you.

Q.3
How did you hear about Bob Burnham?

Q.4
What is your biggest challenge / issue around your business and how do you think becoming a Published author will solve this?

Please give more than a one word answer, it will help us both!

Q.5
What makes it a challenge for you now?

Q.6
What sort of impact does this have on you and your results?

Include both "evidence" and also how you feel about it too.

Q.7
What difference would it make to you if you could make improvements in this area?

Q.8
What do you want to get from having a strategy session with Bob, how do you think he will be able to help you?

Q.9
When is a good date AND a good time to contact you?

If your application is successful you will be advised by Bob, or one of his team, within 24 hours of submitting this survey. Available dates and times for your complimentary session will be included in the email.

Create your own free online surveys now!
Powered by Polldaddy