Dr Michael Gaeta's Clinicians Mastermind Circle
If you are familiar with this one-year Program (see www.cliniciansmastermind.com), can commit three hours per week to upgrade your patient care and practice success, and are ready to join us now without a discovery call, you can register and get started here: https://michaelgaeta.teachable.com/p/cmc. If you would like to speak with Michael to make sure the Program is a good fit for you and your practice, simply complete the application below, then schedule your call here: https://gaetaacupuncturenutritioncolorado.fullslate.com/employees/423
Email address *
First Name *
Your answer
Last Name *
Your answer
How did you hear about this program? *
Your answer
Licenses / Certifications / Degrees *
Your answer
Tell me about a little about your practice (years open, average number of patients per week, type of offerings): *
Your answer
What are the current MONTHLY gross revenues for your practice? *
What’s the difference between your current and ideal practice? *
Your answer
Why haven't you been able to reach your practice goals yet? *
Your answer
What would mean IDEAL success for you, as we work together to improve your clinical skills and grow your practice over the next year? *
Your answer
What is the main focus in the coming year for you? *
Which is true for you? *
Which best describes you? *
I can commit to at least three hours of study per week, as an investment in myself, so that I can have a positive transformation for myself and my practice. *
I am comfortable using technology on my own: operating a computer, e-mail, web browsing, copy and paste, logging into websites with a User ID and password. These basic skills are necessary to fully use and benefit from this Program. *
If you are selected for Clinician's Mastermind Circle, how soon can you enroll? *
What is your clinic website address?
Your answer
What is the best phone number for us to reach you? *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Gaeta Communications. Report Abuse - Terms of Service