Contact details. ^*

First Name ^*

Last Name ^*

Email ^*

Phone Number

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Where are you based? ^*

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Which language(s) can you deliver sessions in? ^*

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How long have you been working professionally in this field? ^*

Less than 2 years

2-5 years

5-10 years

10-20 years

20+ years

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In one sentence, how would you describe what you do? ^*

Like the biography you use for social media.

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What are the things clients most often come to you for?

Bullet points are fine. The more specific, the better.

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Who do you work best with?

(Elite athletes, busy executives, postpartum women, biohackers, beginners, etc.) — whoever you do your best work with.

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Credentials ^*

MD (medical doctor)

PhD or DSc

DO, DC, ND, or similar doctoral

Master's degree

Bachelor's degree

Professional certification (CSCS, RD, ACSM, etc.)

Self-taught with deep practical experience

Other

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List your specific certifications, degrees, or training

Example: "MS in Nutrition — Stanford 2014; CSCS — NSCA 2016."

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Where have you trained, worked, or practiced?

Universities, clinics, teams, companies, brands. Whatever's relevant.

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Personal website or portfolio link

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Published research, books, or major articles

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Do you have a public audience or following? ^*

Yes — significant

Yes — growing

Some — building it

No — I focus on private practice

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Approximate size of your largest channel

Under 5K

5K-25K

25K-100K

100K-500K

500K-1M

1M+

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Drop links to your most prominent profiles or work

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Do you currently see clients 1-on-1? ^*

Yes, regularly

Sometimes

No — I want to start with Risorgi

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What's your hourly rate? ^*

Under $150

$150-$300

$300-$600

$600-$1000

$1000+

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How many session hours per week could you initially commit to Risorgi? ^*

1–2 hours

3-5 hours

5-10 hours

10+ hours

Flexible — depends on demand

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Which session lengths would you like to offer? ^*

15 minutes

30 minutes

45 minutes

60 minutes

Longer

Other

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If accepted, how soon could you start taking bookings? ^*

Today

This week

This month

Within the next months

Just exploring for now

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Why Risorgi specifically?

What drew you to apply?

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Anything else you'd like us to know?

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I consent to Risorgi using this information to evaluate my application and contact me about it.

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