Please Complete This Short Application To See If You Are A Good Fit For Our Program

Welcome to the Medspa Startup Bootcamp pre-qualification survey! We're thrilled that you're interested in our unique program designed specifically for aspiring nurse entrepreneurs. Our goal is to ensure that every participant who joins us is well-matched to our offerings and stands a great chance of success.

This survey will help us understand your goals, needs, and readiness to embark on this exciting journey of starting your own medspa. If you prequalify, congratulations! You'll receive a calendar link to schedule a call with us. If not, we appreciate your interest and will redirect you to a page that might better suit your current needs. We value your time and strive to provide clear, straightforward questions. Please answer as honestly as possible. Your success begins here!

*Applications are confidential.*

Full Name *

What is your email? *

Thank you, what is your phone number? *

What state will you open your Aesthetic Practice in? *

As of the moment, the program is designed specifically for RNs, NPs, PAs and MDs, only. What is your professional healthcare background? *

Registered Nurse

Nurse Practitioner

Physician Assistant

Medical Doctor

LVN/LPN

Please confirm if you will you be starting your aesthetic practice in Louisiana, Alabama, Mississippi, Tennessee, Arkansas, Florida or Maryland?

Yes

What is your current specialty?

What actions (if any) have you taken at this point to start your Aesthetic Practice? *

What is one fear you have about starting your Aesthetic Practice? *

Our mentorship program is for nurses, nurse practitioner and doctors who are looking to start their practices on the side, is this what you are looking to do?

Yes

What is the current monthly income?

What do you feel is the biggest challenge you’re currently facing when it comes to starting your Aesthetic Practice? *

We have limited spots for our Medspa Startup Bootcamp, If you are accepted into our program, would you be ready to take action now to secure your spot?

Yes, I was ready like yesterday

Yes but I'll be ready within a week

Yes but not right at this moment. I'll be ready in the next few months

No, I don't want to secure my spot at all

Do you have a partner or significant other who you will need to speak with to make a decision to invest in your personal development?

Yes - (If so, only schedule the call when they are available to be on with you)

Dr. Jones is extremely passionate about working with nurses and healthcare professionals who will be successful in her program. Her track record precedes her and she is very selective about who she works with. If accepted into the program, are you willing to dedicate at least 5 hours per week during the Bootcamp to build your Aesthetic Practice? *

Yes

How much money are you willing to invest in working with a business coach to teach you the blueprint and process to owning a Medspa as a nurse?

$3000/below

$3,000 - $5,000

$5000 - $10000

$10000+

I don't have money to invest

If you were to find a program that you feel would work for you to learn how to successfully open your own Medspa as a nurse, would you be open to financing to learn how?

Yes

Provide Your Instagram Handle *

Dr. Jones and the Luxe Beauty Academy team understand that your time is valuable, so we make every effort to begin your scheduled call on time. As a result, we ask that we receive the same consideration. If you’re unable to attend, please reschedule, cancel or let us know, as this is a FREE Discovery Call. If your call results on a No Show, you will not be able to book a free call with us again. Please check Yes, to acknowledge.

Yes