Tell Amy About You
This is not a screening quiz — it is a starting point. Your answers help Amy understand your practice and your goals so that when you connect, the entire conversation can be focused on you. Complete this short business assessment before our call — it helps us understand where you are now and where you want to go, so we can make the most of our time together.
About You
First Name
Last Name
Email Address
Phone Number
Your Professional Role
How long have you been in private practice?
Your Private Practice
What is the biggest challenge you face in your private practice right now?
Be as specific as you like — there are no wrong answers here.
What are your ultimate goals for your private practice?
Think beyond income — what does your ideal practice look like?
What would you most like to accomplish through Our conversation?
What does success look like for you — 6 months down the road?
How much of your current practice focuses on anxiety?
Income & Readiness
What is your current primary income model?
What additional monthly income would make a meaningful difference in your practice?
One Last Thing
Is there anything else you'd like Amy to know before your call?
How did you hear about Advanced Anxiety INSTITUTE AND DOES THE MODERN PRACTICE GROWTH STRATEGY PLAN INTEREST YOU TO LEARN MORE ABOUT CERTIFICATION AND WHATS INVOLVED?
