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Question 1 of 9
First Name
Question 2 of 9
Last Name
Question 3 of 9
Email AddressPlease enter your preferred email address for the program
Question 4 of 9
Do you have a website or any social media handles you'd like to share with us?
Question 5 of 9
Describe your current business (just starting, growing or scaling). Describe if you have clients or not, and if so, how much money are you generating.
Question 6 of 9
What is your biggest roadblock to starting or growing your practice?
Question 7 of 9
List 3 goals you hope to accomplish in the next 6 months. What do you think is realistic in the next 3 months?
Question 8 of 9
On a scale of 1-10 (10 being the highest), how confident are you about starting/growing your business?
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Question 9 of 9
Anything else that you'd like to share with us?