Apply For Clinic Freedom
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Email *
What is your first name? *
What is your last name?  *
What is the URL of your instagram account?  *
What best describes your discipline?  *
What best describes your current situation?  *
Describe your business in more detail? 
- what is your niche or idea? 
- have you sold any of your services online before? if so, how much money have you made?
- what is your ideal monthly revenue? 
*
What has been the biggest challenge when it comes to your next step in business? (are you overwhelmed with social media? Confused on your niche? Feel icky about selling? Not sure if you need a website?) *
Anything else I should know about you and your situation? *
On the call, if it makes sense, we will talk about what the next steps are in regards to getting my support to grow your business with our Clinic Freedom Model. The program is a financial investment. Please check which one(s) applies to you
*
A copy of your responses will be emailed to the address you provided.
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