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Strategic Marketing Partner – Application Form

Thank you for your interest in the Strategic Marketing Partner package.
This form helps me understand your goals, business stage, and whether this level of support is a good fit.
Please take a few minutes to complete it. I'll review and follow up within 2 business days.

Full Name

*

Business Name (if applicable)

*

Website or PT Profile Link

*

What type of practice do you run?

*

What type of practice do you run?

A

Solo private practice

B

Group practice

C

Consultant or coach

D

Other

*

Where is your practice located?

*

What are your top 1–2 marketing goals right now?

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What’s been your biggest challenge when it comes to marketing or growth?

*

Have you worked with a marketing coach or consultant before?

*

Have you worked with a marketing coach or consultant before?

A

Yes, and it was helpful

B

Yes, but it wasn’t the right fit

C

No, this would be my first time

Why do you feel this type of ongoing support is right for you now?

Are you ready to invest $650/month in strategic marketing support?

*

Are you ready to invest $650/month in strategic marketing support?

A

Yes, I’m ready to start

B

I’m strongly considering it, just need to discuss

C

Not yet

Strategic Marketing Partner – Application Form

Full Name

Business Name (if applicable)

Website or PT Profile Link

What type of practice do you run?

Where is your practice located?

What are your top 1–2 marketing goals right now?

What’s been your biggest challenge when it comes to marketing or growth?

Have you worked with a marketing coach or consultant before?

Why do you feel this type of ongoing support is right for you now?

Are you ready to invest $650/month in strategic marketing support?

Anything else you'd like me to know?