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PRIDE APPLICATION

Answer the following questions for us to determine if you would be a good candidate for our program.

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Question 1 of 19

Are you a dentist?

Question 2 of 19

Where do you practice?   

Do you run your own office?

Do you own the dental office?

Question 3 of 19

Are you in charge of making changes to the dental office?

Question 4 of 19

What is your annual gross business income? Are you happy with that?

What is your projected business income in the next 30 days?  Are you happy with that?

Are you hitting your income goals?

Question 5 of 19

Are you happy with your business?

Your marketing?

Your staff?

With dental insurance?

Question 6 of 19

Do you like your current income?

Do you have enough free time to enjoy life?

How is your relationship with your significant other? Do you have one?

Question 7 of 19

What is your biggest problem or frustration in dentistry currently?  Why?

Question 8 of 19

What is your biggest problem in life currently?  Why?

Where are you most stressed out in life? Why?

Question 9 of 19

How is your health, are you fit?

Question 10 of 19

Do you have enough time for your significant other?

Do you have enough personal and vacation time?

Question 11 of 19

Are you religious or spiritual?

Do you meditate?

Question 12 of 19

What do you NOT HAVE in your life or that you desire TO HAVE?

Question 13 of 19

What do YOU HAVE that you want to HAVE MORE of or LESS of?

Question 14 of 19

What do YOU HAVE that you want to HAVE MORE of or LESS of?

Question 15 of 19

What is the biggest problem you have right now?

Question 16 of 19

If this situation doesn't get resolved, what will happen?  How will this affect you and your business, your family, your kids?

Question 17 of 19

Why is it an ABSOLUTE MUST for YOU to LEVEL UP your BUSINESS & LIFE at this time?

Question 18 of 19

Assuming YOU ARE SELECTED among the other applicants applying to participate in the 90 Day Challenge, culminating with a 3 day live event... Are You Ready To Invest In Yourself and Your Future as a Dentist?

Question 19 of 19

Please provide your full name and degree.

What phone number can you be reached at?

What is your email?

Confirm and Submit