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Smart Success Healthcare Application

Application for Smart Success Healthcare

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Question 1 of 17

What is your best email? 

Question 2 of 17

What is your cell phone number?

Question 3 of 17

How long have you been following Greg Todd?

A

Less than a week

B

Less than a month

C

Less than 6 months

D

Over 6 months

Question 4 of 17

Who referred you or how did you hear about us?

A

Facebook ad

B

Youtube

C

Instagram

D

Facebook live stream

E

Hunt for Greatness Podcast

F

Person

Question 5 of 17

If someone referred you to SSPT, please state the name of the person. Please put "N/A" if no one referred you. 

Question 6 of 17

Where are you in your career?

A

Pre-PT Student

B

DPT Student

C

DPT

D

Practice Owner

E

OT

F

Other

Question 7 of 17

How do you currently make money?

Question 8 of 17

Rate your current marketing skills 1-5 (1 - Poor, 5 - Excellent)

(Select all that apply)
A

1

B

2

C

3

D

4

E

5

Question 9 of 17

Rate your insurance and reimbursement knowledge 1-5 (1 - Poor, 5 - Excellent)

 

(Select all that apply)
A

1

B

2

C

3

D

4

E

5

Question 10 of 17

Rate your online product and creation (creating digital products, courses and telehealth) skills and knowledge 1-5  (1 - Poor, 5 - Excellent)

(Select all that apply)
A

1

B

2

C

3

D

4

E

5

Question 11 of 17

Rate your financial literacy 1-5 (1 - Poor, 5 - Excellent)

(Select all that apply)
A

1

B

2

C

3

D

4

E

5

Question 12 of 17

Where would you current rate yourself on the PT profit pyramid?

A

Rookie

B

Starting Lineup

C

All Star

D

Legend

Question 13 of 17

Where would you like to end up on the PT profit pyramid?

A

Rookie

B

Starting Lineup

C

All Star

D

Legend

Question 14 of 17

What made you apply today of all days?

Question 15 of 17

Why is now the best time for you to take action?

Question 16 of 17

I understand that Smart Success PT is an INVESTMENT and is in NO WAY a GET RICH QUICK SCHEME!

A

YES

B

NO

Question 17 of 17

I understand that in order to get results I must COMMIT to completing all the lessons in SSPT and implement. I understand that this is a SUCCESSFUL process, but a process nonetheless!

A

YES

B

NO

Confirm and Submit