Pediatric Breakthrough Mentorship with Dr. Bor
Name
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Instagram Handle
Company
Profession
How long have you been practicing?
Why are you interested in this mentorship program?
What are you hoping to learn or improve over the next 12 months?
Are you currently using any advanced modalities or technologies in practice?
What does your current business/practice model look like?
Have you invested in coaching, mentorship, or advanced training before? What worked well and what did not?
Are you financially and personally ready to invest in mentorship and implementation at a high level?
If accepted, what would success look like for you after completing this program?
Do you recognize that this program is an investment ($5,000+ dollars?)
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