The Restoration Collaboration Application
The fast track to 10,000 patients.
Name
First Name
Last Name
Phone Number - to reach you for our potential conversation about this program
Email
example@example.com
Shipping Address - in case all electronic communication go to crap
Street Address
Street Address Line 2
City / State
Country
Postal / Zip Code
What are your background certifications or degrees?
How many years have you been in business or are you just starting?
What are you most frustrated with in your business/career experience so far?
Tell me more about what you've done with business and what you want to do:
Website (note if you don't have one - and that's OK!)
What marketing methods have you tried?
On a scale of 1-10 how ready are you for a virtual business model that allows more freedom, income, and impact?
Inside the Collaboration, it's safe to be honest and real. That said, what was your total monthly sales last month? If you are not running your own business, just say "0"
Inside the Collaboration, it's safe to be honest and real. That said, what was your total annual sales last year? If you are not running your own business, just say "0."
What's the #1 reason why you want the fast track to a scalable virtual functional medicine practice?
By the way, do you have an assistant? Yes or no.
This is an exclusive program where only abundance mindsets are allowed. We are here to help each other. Can you agree to always lift each other up and cheer others on inside?
yes
no
Getting inside this 12-month Restoration Collaboration is an investment into freeing up your future, and the future of the ones you love. You'll hear me say often, "you only get now once." My kids will only be this age once. I will only be this age once. You better believe I'm going to do everything in my power now to craft my own future (and the future of my family). The love I have for them is what drives me. It's why you'll see me leap again and again and again. I'm grateful for what I have but I'm still going after everything I WANT. I know it's okay to WANT and to have what I want. What do you want? How fast do you want it? Are you ready to make the investment towards this desire? How fast are you ready to invest and craft your future?
I'm ready now. Just send me the payment link.
I'm ready but I'd like to talk to you first.
I'm ready but I'd like to talk to you first then have time to decide.
I'm not ready. I can't see a way out of my current reality.
If I want the results, I'll find a way to make the investment. I'm in my mid 30's and I've made some crazy investments already. I've taken out numerous loans, 0% credit cards, whatever it takes. If it leads to me making more money and working less while impacting more, count me in. Can I count you in? There are 3 different investment options to join the Restoration Collaboration and all are multiple 5 figures.
Count me in! I have the money and am ready to invest.
Count me in! I don't have the money but I'll find it.
Count me in - just not right now.
To help us put your name with your face, please share a headshot with us (so we know who we are talking to).
Browse Files
Any picture of your face works.
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Congratulations! We would love to chat more with you. Please copy and paste the link below into a new browser to schedule your call. Let's be sure this program is right for you and you're right for it:
https://calendly.com/nicolelanni/collaboration-call
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