Form Submission - Bulletproof X

Bulletproof X Intake Form This form takes about 20–35 minutes. We recommend completing it in one sitting. Your responses are not saved unless you click Submit. Take your time. Be thorough. Be real. Be deep. The better your answers are here, the better your marketing will be.

Full Name(Required)

Email(Required)

Phone(Required)

When did you begin this current venture, brand, or coaching work?

I’m just getting started

Within the last 6 months

6–12 months ago

1–2 years ago

2–5 years ago

Over 5 years ago

Are you branding a business or a personal brand?

Personal Brand - Use my name in the responses

Business - Use my business name in the responses

Business Name

Even if you've chosen "personal brand" above, please enter a business name if you have one.

Your Age

Gender(Required)

Female

Male

Your Physical Location(Required)

City, State, Country

Do you serve a local or global audience?

Mostly local / regional

Mostly online / global

Both

Your Website Address

Which one best describes your website?

Not currently using, I just have the domain

I have a website, but I am not active with it

My website is active and key to my business

What area of your brand or business would be most valuable to develop or refine through Bulletproof X?

Gaining clarity on what you offer and who it’s for

Crafting a message that feels authentic and aligned

Attracting the right people and growing visibility

Creating consistent content that reflects your brand

Structuring your business or preparing to launch

Refining your offers and delivery to feel more aligned

Strengthening your brand to connect with ideal clients

Developing a values-driven growth strategy

Scaling what’s working with more clarity and focus

Which social platforms do you actively use or plan to use for your brand?

Instagram URL

Facebook URL

YouTube URL

Twitter / X URL

TikTok URL

LinkedIn URL

Pinterest URL

Threads URL

Section 2 - Your Why

Goal: Clarify the deeper purpose behind your work—why you do what you do, how your story shaped it, and what biblical values keep you rooted and resilient.

What is your God-given mission or calling (as you currently understand it)?(Required)

How has God shaped your story in a way that uniquely qualifies you to serve your clients?(Required)

What values or biblical truths do you want your business to reflect at all times?

What are the 1–3 outcomes you’re most hoping to see in your business over the next 6 months?(Required)

(This could include launching something new, serving more clients, growing your audience, improving your brand, or anything else that matters most to you right now.)

Section 3 - Your Who

Goal: Define the people you’re called to serve. The more clearly you understand their struggles, hopes, and language—the more powerfully your message will land.

Who do you feel most called to serve or help?(Required)

Please describe your ideal audience in as much detail as possible—this might include their age, gender, profession, stage of life, core struggles, or dreams. Give your ideal client a name and a 2–3 sentence backstory. Create 1-3 of these personas --> Example: Jennifer is 38, a working mom with two young kids. She’s been successful in her career but often puts herself last. She wants to take care of her body and reconnect with God, but she feels overwhelmed, discouraged, and unsure where to begin.

What is the most meaningful problem or pain your audience struggles with—the one you feel especially equipped to help overcome?(Required)

What is the biggest mindset block your clients usually face?(Required)

(e.g., shame, self-doubt, confusion, procrastination, fear of failure)

If your ideal client were thriving 6–12 months from now, what would their life look like?(Required)

(Paint their “after” picture in simple, powerful terms—how things would look if breakthrough really came.)

Why should someone choose you over others offering similar things?(Required)

Think of this as your “stand-out” factor. What makes your story, approach, perspective, or results unique or powerful? Don’t worry about sounding impressive—just be honest about why your work matters. And how it’s different from what others are doing.

Section 4 - Your What

Goal: Define exactly what you offer and why it matters. This section helps us capture the heart of your service, how it transforms lives, and what makes it distinct. The clearer you are about what you do and how it helps, the more powerfully your message will connect.

What is the first step you want someone to take after connecting with your message?(Required)

List one or more actions you'd love a new visitor to take after they come across your content, website, or brand. This might include things like booking a discovery call, downloading a resource, following you on social media, or joining your email list.

This field is hidden when viewing the form

Your Offer(s)

What offer(s) do you currently have—or plan to offer soon?

Use this space to describe your services, products, or programs, even if they’re still in progress. The goal is to get your ideas out of your head and into words. Please include:

Delivery format (e.g., 1-on-1, group coaching, Zoom sessions, online course, digital product, etc.)
Frequency (e.g., weekly, monthly, self-paced, etc.)
Length of engagement (e.g., 1 session, 4 weeks, 3-month program)
Price (or price range)
(Optional): Do you offer multiple packages or tiers?

Example:
“I offer 1-on-1 Zoom coaching twice a month, with a 3-month commitment. The program is $499/month. I also offer a self-paced course for a one time fee of $97.”

Here is a list of common products & services offered:

1-on-1 Coaching
Group Coaching
Digital Course
Physical Product
Workshop or Event
Consulting or Strategy Calls
Monthly Membership
Other

Share your current or planned offers(Required)

What tools, platforms, or methods do you use (or plan to use) to deliver your service or product?

For example: Zoom, Teachable, Kajabi, email, in-person sessions, downloadable PDFs, Voxer, Facebook group, etc.

BPX Intake Form