Mentorship Application

What Is Your Current Working Environment?*
- Private Practice
- ProSport
- Other

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 Would You Ideally Like To See A Week?*
- 20-40
- 40+
- 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 Education
- No 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 Interested
- Im Thinking About Improving A Certain Area Of My Development And Looking At Different Courses
- Im 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

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 Country

Learn If You Are Eligible For The ‘Go-To’ Therapist Mentorship By Answering These Short Questions