Training Questionnaire
Thank you for your interest in training with me! I am so grateful for the opportunity to be part of your education. Please fill out this questionnaire to the best of your abilities. Our team will reach out soon to discuss this opportunity further. Thanks again!
Email *
Name and Credentials  *
Where do you work and what is your position? *
Instagram handle (if applicable):
Are wanting to shadow, do a group training, or do a private 1:1 training? *
When are you hoping to shadow/train? *
How many years experience do you have? *
What treatments are you performing the most right now? *
For injectables, are you using needle or cannula? *
How many hours are you wanting to train/shadow? 
Note: 4 hour minimum is required (some exceptions apply)
 *
How many trainees will be present?
Note: Hourly pricing varies based on number of participants.
$500 per hour for 1:1
$700 per hour for 2-3 trainees
$900 per hour for 4-5 trainees
$1000 per hour for 6+ trainees
(if interested in shadowing, type "N/A")
 *
What are you interested in training on?
Check all that apply:
 *
Required
Are you wanting to train at Rise or host at your practice?
Note: If you are hosting, you are responsible for flight/hotel costs + travel fee of up to 7% of training cost (no travel costs for Utah, Davis or SLC county) 
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms