Interested in the 2019 Private Practice MasterMind Group?
Great! I am excited to see if you're a good fit to work with our virtual MasterMind group so you can expand your business and create the practice you have dreamed of. Please take a few minutes to complete the form below so I can learn more about you and see how I can help you create and expand your private practice. Please make sure to give as much explanation as possible. I’m not looking for just a "yes" or a "no" answer. This is your chance to make an impression and let us know if you would be a good addition to the Private Practice MasterMind Program!
What is your full name? *
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
What is the URL of your business' website?
Your answer
What is the URL of your personal Facebook profile?
So that I can add you as a friend!
Your answer
How did you hear about the MasterMind Group and Dr. Kristie? *
If you selected "Someone referred me" or "Other" in the previous question, please tell us the name of who referred you or how else you found out about the MasterMind Group.
Your answer
What is your target monthly revenue for your business? *
Your answer
What do you feel is your biggest obstacle to achieving your business goals? *
Your answer
Briefly describe your current business. *
Who do you serve? What do you sell? What is the price point? Who is your target market?
Your answer
Do you have a platform of some kind? If so, describe the amount of followers you have on each platform. *
A platform can be anything: website, blog, email list, social media following, YouTube, etc.
Your answer
How many subscribers do you have on your email list? How did you get most of these subscribers? *
Your answer
Do you have an interest in creating new revenue streams? *
For example: online courses, books, ebooks, trainings, speaking opportunities, paid blogger, etc.
What is the biggest challenge in your business that you want to address? What have you tried that hasn't worked? What has held you back from reaching your goals? *
Your answer
Describe your goals in detail. *
You can include metrics like business growth and also qualitative life goals, like more freedom or impact.
Your answer
Can you identify 3-5 communities or places online where your ideal client hangs out? *
This could be a Facebook group, support group, community activities, etc.
Your answer
What are your top 3 goals that you would like to accomplish by the end of the MasterMind Group? *
Your answer
Could you benefit from a systematic and step-by-step approach to growing your business? *
Why are you an ideal client for the Private Practice MasterMind Group? *
Your answer
Is there anything else I should know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service