1-1 Coaching

1-1 Coaching Application

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Personal Information

First Name:

Last Name:

Phone:

Website

Email:

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Practice Information

Please choose your current situation:

Currently running practice

Looking to start running a dental practice

Looking to sell my dental practice

Annual Revenue

What's the biggest business challenge you’re struggling with right now?

What’s your main goal over the next 12 months for your dental practice?

How do you feel that working with Valerie for the next 3-6 months would help you to overcome your challenges and turn vision into a reality?

On a scale of 1 to 10 (with 1 being the lowest and 10 being the highest) how committed are you to getting the results you want for your business?

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Working with Valerie directly is extremely limited. We want to make sure we provide the highest quality support to everyone that applies, so the reality is that not everyone will be a good fit.

Why do you feel that you would be a good candidate to work with her directly?

Getting big results requires more commitment and part of that commitment includes you financially backing yourself. Are you able and willing to invest in yourself for this coaching?

Yes, I have available cash or credit to invest in myself right now

No, I don't have the resources right now to invest in myself.

Who recommended Dr Valerie Woo to you, or how did you find out about her?

Anything else you would like Valerie to know?

1-1 Coaching Application

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