First Name
*
Last Name
*
Email
*
Phone
*
Name of Business
*
How long have you been in private practice?
*
1 to 3 years
3 to 5 years
5 to 10 years
More than 10 years
What was your gross business revenue for the last 12 months?
*
$
Are you currently in group practice?
*
Yes, I am currently in a group practice model.
No, I am still a solo provider.
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What program(s) are you interested in?
*
Private Practice Million Dollar Formula: Group Coaching Program
1:1 Million Dollar Coaching
1:1 Million Dollar Mentorship & Consulting
Are you the sole decision in your personal and business finances?
*
Please choose an option below
Yes,I am the sole decision-maker in my personal and business finances.
No, another decision-maker is involved in this decision, AND I commit to scheduling at a time we can both be present.
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Have you ever invested in a business development program for your practice?
*
Choose an option below:
Yes
No
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Did you get the results from that investment?
*
Please choose an option below
Yes
No
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How much have you invested in the growth of your business in the last 12 months?
*
$
What range of investment are you prepared to make?
*
$10k-$20k
$20k-$35k
$35k-$50k
$50k+
How did you hear about my services?
*
Choose an option:
Facebook
Instagram
YouTube
TikTok
LinkedIn
Threads
soribelmartinez.com
Other
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FYI, my newsletter is 🔥! Would you like to be added to my email newsletter?
*
Yes!
No thanks.
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