First Name
Last Name
Email Address
Phone Number
Give a verifiable link where you are on social media or your website.
What life changing work do you do or want to do?
What is your specialty or niche?
I would like to be brave for myself in launching or growing my practice.
I want to be authentic in my personal and professional practice growth.
I want to show up for myself in a way that is compassionate and balanced.
Practice Start Up - forms, website, billing, legalities
Building Your Team – Therapist Recruitment, Administrative, Accounting, Attorney, Advisors
Marketing, Networking, Referral Sources, Community Outreach
Building Business Mindset – Leadership, Insurance Contract Negotiation Fees, Risk Management, Independent Contractor Fee Splits, Paying Yourself as Owner
Work-Life Balance – Burnout, Self-Care, Have Balance with Family, Friends, Work, Education, Spirituality, Growth, Guidelines for Vacations
What other ways can you benefit from support?
Is now the right time?
What is your big vision?
How do you connect your wounds to success?
Who do you turn to when it is time to celebrate?
Are you in a place in your life where you are ready to say yes to you? If yes, How soon do you want to get started?
Do you have any fears about starting a new chapter of your life? If so, what?
What do you earn?
What is your annual revenue goal?
How will reaching your annual revenue goal change your life?
What type of coaching and consulting support are you looking to invest in and for your BUSINESS growth?
What type of investments have you made in your PERSONAL development? What has been the direct result of the investment? List all below.
What type of investments have you made to grow your business? What has been the direct result of the investment? List all below.
How much would you be willing to invest to meet your life and business goals? If you are not investment minded, this session is not for you. $3000 - $5000
$5001 - $8000
$8001 - $12000
$12001 +
Why are you looking to invest in coaching and consulting with me? Be specific.
How soon can you get started?
What else do I need to know about you? Are you an action-taker, implementer, go-getter, high-integrity person who loves being in community with other successful, achieving private practice owners? (Answer both questions)
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