Training Application
Please fill out the application below and I will be in touch with you if you qualify for your free Discovery Session.
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Full Name *
Age *
E-mail address *
Phone Number (FB if outside US) *
Current City *
Occupation *
Yearly Income *
How did you first hear about me? *
What is your most important dating goal? *
What is your #1 single biggest challenge when it comes to dating? *
What in your life would be different if you achieved your dating goal? *
On a scale of 1-10 how serious are you about achieving your dating goals? *
not that serious
I'll do whatever it takes and settle for nothing less
have you had training before?  If so with who and when *
What type of training are you looking for from me? *
Budget For Training *
How much can you invest for that training to get this area of your life handled?
Why should you be accepted to work with me? *
I receive many applications but only have a limited number of spots available due to the 1-on-1 nature of my coaching. Please tell me why you'd be a good fit?
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