Book Your BONUS 1 to 1 Call Below Use the form below to get this bonus call To Make Sure You Get The Most Out Of This 30 Minute Call Please Fill In The Form Below Use the form below to see if you’re a great fit for the Mentorship. Full Name* Full Name Email Address* Contact Number*Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican 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 Occupation*PhysiotherapistPhysical TherapistSports TherapistNeuromuscular TherapistSports Massage TherapistOsteopathChiropractorOtherHow Many Years Are You Qualified?*0-4 Years5-9 Years10-15 Years15 Years+Where Is Your Current Main Working Environment?*Working In Own Private PracticeWorking For Someone Else In Private PracticeWorking In Pro SportWorking In The National Health SectorStudentOtherAre You Treating at Least 20 Patients a Week?*YesNoGross 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 monthNet Monthly Profit*Do You Receive at Least 80% of Your New Patients From Word of Mouth Referrals Due to Great Results?*YesNoList 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?*£500-£1,000 per year£1,000-£2,000 per year£2,000-£3,000 per year>£3,000 per yearAre 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?*YesNoIf your application is approved, do you commit to showing up to the call on time?*YesNoWhy 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
