Pre-Discovery Call Application Form

Before your Discovery Call, take 2–3 minutes to complete this short application so we can tailor your call to your goals, challenges, and vision.

Tell Us About Where You Are and Where You Want to Go

Your Full Name

Your Email

1. Which best describes your current situation?

If Other (please specify, or leave blank if not applicable)

2. If you currently have a practice, how long have you been in business?

3. Have you worked with a business coach or mentor before?

If yes, what was most helpful or least helpful about that experience? (leave blank if not applicable)

4. What are your top goals for coaching? (Select all that apply)

If Other (please specify, or leave blank if not applicable)

5. Where do you feel you need the most support right now?

6. What are the biggest challenges or frustrations in your practice (or current position)?

7. In an ideal world, what would your practice and lifestyle look like 12 months from now?

8. How ready are you to make changes or implement new strategies?

9. What does success in your practice mean to you personally?

10. Do you currently have clear systems in place for managing patients, finances, and team operations?

Your information is kept 100% private and is only used to personalize your Discovery Call.