LC UTM Source

LC UTM Medium

LC UTM Campaign

LC UTM Term

LC UTM Content

LC Funnel

FC Funnel

What is the main reason you would be interested in changing - or escaping - your career?

My current one is unsatisfying and unfulfilling

I wish to earn a higher income

I want to be my own boss

I'd like to choose my own hours

Something else

Would you love to learn to help yourself while making a positive impact on the world? *

Yes

No

Are you an existing coach or mental health professional? *

Yes - I'm a therapist

Yes - I'm a coach

No - I'm looking to become one

No - And I'm not looking to become one

Are you looking to transition to becoming a therapist as a full-time career? *

Yes

No

Is there anything you'd like to tell us about your background that's relevant to a potential career as a therapist? (Optional)

What appeals to you most about a career as an RTT Therapist? *

A desire to help improve people's lives

The chance to choose my own hours

The opportunity to maximise my earning potential

A commitment to learning brand new skills in hypnotherapy

Something else

Which element of your personal circumstances would improve the most if you worked for yourself as an RTT therapist? *

I could spend more time with my family & friends

I would have less stress

I would have more freedom to live the life I choose

I would be able to earn more money

What blockers have stood in the way of your starting a new career that you most want our help with? *

Self-Doubt, lack of confidence - I'm not sure I can do what's necessary to succeed

Lack of Focus - I get distracted by other less-important elements of work or life

No follow-through - I struggle to commit to the actions I know I need to take

Procrastination - I struggle to take the action needed to succeed

Lack of qualifications - I don't feel I have the necessary skills or knowledge

Nothing - I know that with the right training I can succeed

How much time are you able to commit PER WEEK if it means becoming a cutting-edge RTT® therapist in the next 6 months? *

1-5 Hours Per Week

5-10 Hours Per Week

10+ Hours

Are you committed to becoming a student for 6-9 months to transform the lives of others and create a profitable new career for yourself? *

Yes

No

What would you need to earn as an RTT® therapist to replace your current income? *

I'm currently unemployed

Zero - $30,000

$30,000 - $60,000

$60,000 - $100,000

Over $100,000

Which RTT service most interests you? *

Training Live with Marisa

Training Online from my Home

I understand that in order for my application to be considered and approved, I must book a time to talk with an RTT® application advisor on the next page. *

Yes

No

What is your First Name? *

What is your Last Name? *

What is your Email Address *

What is the phone number you wish us to call you on? *

In which country are you based? *

Country

Have you taken one of Marisa's trainings before?

Yes

No

Which training/s did you take?

An RTT Foundation Course

An RTC Coaching Course

One of the 21-Day Challenge's

Practioner Marketing

Confident Coach

One of her Personal development Programs (eg. I Am Enough)

One of her Health Programs (eg. Dietless Life, Perfect Weight Forever)

Is there anything else you'd like us to know, or discuss with our team? (Optional)

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