Private Practice Coaching
Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
City and State
*
Country
*
Instagram Handle
*
Which program are you most interested form?
*
Thresh Method
Express Thresh
Thresh Buddy
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Experience
It might be a lot, it might be a little!
Please identify your profession:
*
Marriage and Family Therapist
Licensed Professional Counselor
Relationship Coach
Student of therapy, counseling, or coaching (formal or informal)
None of the above
Relevant Credentials and Titles
Are you currently working with clients?
*
Yes I have an employer (not myself)
Yes I am self-employed, I have my own practice
No, but I have in the past
No, and I never have
Are you currently working with your ideal clients?
*
Yes
No
Have you ever worked with your ideal clients?
*
Yes
No
How much money do you currently make per month on average solely through working with clients? (write-in N/A if you are not working with clients at all)
*
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Vision
You may have thought of this already, you may not have! Give it your best shot.
Business name, ideal name, or your name
*
How many hours per week are you able to give to your practice? (including hours spent in session)
*
Do you want your practice to be virtual or in-person?
*
Virtual
In-person
Hybrid
Not sure
How much money do you want to make per month?
*
Please share anything else you would like me to know about your business:
Please share any questions you would like answered:
Submit
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