Mentorship Book A Call

Full Name*

Full Name

Email Address*

Contact Number*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Occupation*

How Many Years Are You Qualified?*

0-4 Years
5-9 Years
10-15 Years
15 Years+

Where Is Your Current Main Working Environment?*

Are You Treating at Least 20 Patients a Week?*

Yes
No

Gross Monthly Revenue*

£/$/€ 0 to 1,000 per month
£/$/€ 1,000 to 2,000 per month
£/$/€ 2,000 to 3,000 per month
£/$/€ 3,000 to 4,000 per month
£/$/€ 5,000 to 10,000 per month
£/$/€ 10,000+ per month

Net Monthly Profit*

Do You Receive at Least 80% of Your New Patients From Word of Mouth Referrals Due to Great Results?*

Yes
No

List The Last 3 CPD Courses You Purchased or Attended?*

What Was Your Main Motivation For Taking Action And Registering Your Interest In The Mentorship?*

When it comes to having complete confidence and clarity in getting great consistent results with your patients, what is the single biggest challenge, frustration or problem that you’ve been struggling with?” (please be as detailed and specific as possible).**

What other challenges/problems are you facing clinically in the real world at the moment?*

What do you think is the main obstacles that is causing these challenges/problems for you right now on a day to day basis?*

What have you tried previously to solve these challenges/problems?*

At The End Of The Mentorship, What Would Have To Happen For You To Be Incredibly Happy With The Value You Received From The ProSport Academy?*

What is your average CPD budget that you invest in yourself per year to give yourself the best short at becoming the 'go-to' therapist?*

Are you serious and commited to solving the problems stated above and willing to invest in yourself to take action to overcome these obstacles to getting consistently great results becoming that ‘go-to’ therapist?*

Yes
No

If your application is approved, do you commit to showing up to the call on time?*

Yes
No

Why is it important to you that you solve these problems right now rather than let them just continue to manifest on a day to day basis in the clinic?*

By clicking submit, I understand that I may receive emails, calls and/or SMS texts from The ProSport Academy regarding my application and the Therapist Mentorship

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