Interest form for Pod
This coaching container is a space for therapists optimising their private practices, exploring online income streams, and keen to connect with other therapists.

Please complete this short form and I will be in touch. Thank you!
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Email *
Name
 *
Please feel free to share what you'd like me to call you and pronouns if you'd like to.
What is your professional background? *
e.g. Integrative Psychotherapist, Psychodynamic Counsellor, Clinical Psychologist
Is there anything you would like me to know about your identity, neurotype, interactive preferences, abilities or challenges? *

Can you tell me a bit about your practice? How many clients do you usually see per week and what are your current fees?

*
What would you like your business to be like? What would you like to change or incorporate? *
What would you like to get from our work together? Do you have a tangible result in mind that would make it feel successful? *

What motivated you to apply for this group experience?

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Which of this times would work best for you?
 *
Feel free to add some ideal times below in case I add another pod!
Required
How long would you prefer to sign up for?
 *
Where do you feel you are at in the decision making process?
 *
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A copy of your responses will be emailed to the address you provided.
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