Learn If You Are Eligible For The ‘Go-To’ Therapist Mentorship By Answering These Short Questions Step 1 of 8 12% What Is Your Current Working Environment?*Private PracticeProSportOther What is the #1 single biggest obstacle holding you back right now from reaching your career goals? (This is the biggest thing we would help you with first, so give as much detail as you can about WHAT it is you feel is holding you back)* How Many Patients Are You Seeing A Week?*0 - 1011-2021+ How Many Patients Would You Ideally Like To See A Week?*20-4040+Im Happy With The Number Of Patients Im Seeing I Just Want To Help Overcoming A Certain Problem Do You Invest In Yourself To Increase Your Results?*Yes I Think Its Important To Invest Into My EducationNo Its Just A Cost How Serious Are You About Joining The Mentorship Community And Applying The Content If You Are A Good Fit?*Ill Be Honest Im Just Browsing To See How Much It Costs And Not Massively InterestedIm Thinking About Improving A Certain Area Of My Development And Looking At Different CoursesIm Hungry And Motivated To Get Better As A Clinician And Willing To Work 1 Hour Per Week for the Next 12 Weeks To Make Massive Changes If You Can Answer All My Questions About The Mentorship And Im A Good Fit Where do YOU see the greatest opportunity to improve yourself or your results in the next 3 months? (select all that apply)* Select All Making sense of the patients symptoms in the assessment so I know where to start and where to go next Increasing my clarity and confidence to explain to the patient in the initial assessment a complete treatment plan from start to finish More effective treatment interventions that actually stick Taking a patient from the bed to higher-level rehab Improving my ability to know when a patient is safe to return to higher-level activities such as running Increasing my patient adherence to the treatment plan that helps me get great results and hence increasing my retention revenue and referrals Full Name:* First Last Email Address:* Phone Number*Clinic Name Or Sports Club*Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
