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Mastermind
Thank you for taking the time to complete this form. This form aims to make sure each person is a good fit, understands what is expected, and can commit to the mastermind.
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Name
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Your answer
Email
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Your answer
Phone
*
Your answer
What attracts you to a Mastermind Group? What do you like about this specific Mastermind?
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Your answer
What kinds of goals and support are you looking for in the Mastermind?
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Your answer
How many clinical staff do you have?
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Your answer
How many administrative staff do you have?
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Your answer
How many leadership positions do you have?
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Your answer
Please confirm that Tuesday's from 11am-12:30pm CST works for your schedule.
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Yes
No
Are you able to afford $3,000 for this mastermind?
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Yes
Please set up a payment plan with me (3 monthly installments)
No
Is there anything else you would like me to know? Are there any additional questions you have?
Your answer
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