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* 1. What do you want to know more about Private Practice? What questions would you like answers to?

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* 2. Please rate how valuable it is to you, for me to provide you with information and support in the following areas of Private Practice.

  Very valuable Somewhat valuable Not very valuable Not at all valuable
Starting a Private Practice
Building your Private Practice
Marketing your practice
Managing your business
Multiple streams of income
Technology based options for counseling

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* 3. If I offered a membership group for Influential Therapist that includes: regular trainings, an in-depth newsletter, access to forms/tools/other marketing & business items, and a group for brainstorming and support with other private practitioners, how interested would you be in becoming a member?

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* 4. What topics would you like to see me offer in the way of teleseminars or 30-day Boot Camps?

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* 5. Email Address (optional):

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