Transformation Application

I would love to learn more about you and your practice as well as about what transformation you desire. Please complete the application and schedule a complementary strategy session call.

First Name

Last Name

Email Address

Phone Number

Give a verifiable link where you are on social media or your website.

Which statement is true for you?

I am thinking about launching a practice.

I have already started my entrepreneurial journey.

I have an established practice and I want it to grow and be sustainable.

What life changing work do you do or want to do?

What is your specialty or niche?

What areas of your life do you want to transform? Select all that apply.

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.

What is your biggest concern in running a profitable practice? (select all that apply)

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?

Do you have a group of people that help you elevate your sense of self?

Personally?

Professionally?

No I don’t. I tend to be the one who elevates others.

Reasons for Consultation

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.

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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