Coaching Form - TRP Website

6.) Why did you become a Chiropractor? (Tell me your story) *
7.) What is your definition of success as a Chiropractor and why is that important to you? *
8.) What is your mission as a Chiropractor and why? *
9.) What is the #1 problem stopping your from reaching this mission? *
10.) What is your vision for how you will impact the world and why do you want to do that? *
11.) What is the #1 challenge to achieving your vision? *
12.) How many patients are you currently seeing each week? *
13.) How many patients would you like to see each week? *
14.) How many locations do you currently run and where are they located? *
15.) How many locations would you like to run and where? *
16.) How many employees are on your staff? *
17.) Do you have any associate DC’s and if so, how many? *
18.) Would you like to have an associate program and why? *
19.) How do you attract new patients to your practice? *
20.) How do you convert new patients to lifetime patients? *

21.) Do you accept insurance and what percentage of your patients pay with insurance? *
22.) Do you have cash patients and what percentage of your patients pay cash? *
23.) What is your definition of financial success? *
24.) Why is financial success important to you? *
25.) What is the risk if you do NOT achieve financial success? *
26.) Do you have a desire to be remarkable? *
27.) Are you willing to DO remarkable in order to BE remarkable? *
28.) Do you have the time to commit to creating a remarkable LIFE? *
29.) Are you willing to invest financially in creating your success? *
30.) If you were selected for 1-on-1 coaching, would you commit to following the system, completing your assignments and sticking it out when the going gets tough? *
31.) Why do you feel that you might be a better candidate than others for 1-on-1 coaching? *
32.) Why do you need coaching to reach your dreams? *