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Name
Email
Phone Number
Your PERSONAL Facebook Profile Name
Phone Call or Zoom Call?
Where are you in your journey?
New grad < 1 year out
Practicing 1-5 years
Practicing 5-10 years
Practicing >10 years
Employed
Developing my side-hustle
Currently growing my own business
I acknowledge that the Uncaged Clinician programs are for the therapist who is committed to taking action in order to change their life. In doing so, he/she is devoted to changing the lives of their clients by delivering a higher level of service, one which advances the profession.
What are your goals?
What's keeping you from achieving those?
What is your target monthly revenue?
How committed are you to getting there? (1 = Simply inquiring, 10 = Let's GOOO!)
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How coachable are you? (1 = I tend to drag my feet, 10 = Put me in, Coach!)
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How interested are you in receiving coaching? (1 = I can figure it out on my own, 10 = I know I need to invest in me in order to Level Up!)
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Do you have the financial resources available to invest in your business?
Yes
No
Not Sure
Why are we a good fit to work together?
Submit
