E2T Breakthrough Session Application Form

Application For Breakthrough Session
The one-on-one business breakthrough session is laser-focused and designed to cut through the chase to help you gain clarity on the crucial long-term priorities.

Who Is It For
This is for business owners of holistic dental practices, holistic clinics and wellness businesses who are aiming to attract significantly more ideal clients/patients and increase profitability.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Business:*

Website

Street Address

CityState / Province

Postal / Zip Code
II. Questionnaire:

Pls fill out as much you can...
Describe your business as it is right now (please be specific):

0/300
How do you currently market your business?

0/300
What are the three biggest obstacles stopping you from taking your business to the next level?

0/300
What's the greatest outcome you'd like to see as a result from the breakthrough session?

0/300
What are your three biggest accomplishments in the last year?

0/300
If we were meeting you a year from now, what would have had to happen with your business for you to be happy with your progress?

0/300
What is your average annual revenue:

$50k-$150k$150k-$500k$500k-$1 Million$1 Million-$10Million$10Million+
What is your average monthly marketing budget:

$0 - $500$500-$2k$2k-$10k$10k+
Disclaimer

This breakthrough session doesn't guarantee any success or is promising future earnings. Your earning potential is entirely dependent on your business, your experience, dedication, training and skills. We do not position our services as a “get rich scheme.”

This breakthrough session is not for everyone and therefore not all applications will be considered.
Read and Understand the Disclaimer.*

Yes, I have
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Application For Breakthrough Session

I. Personal Data:

II. Questionnaire: