Help me to help you

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Help me to help you

This is a little series of questions that helps me help you. Please take a moment and fill out all the sections. The more you
share the more easier things will be for myself and my team - Johnny Cassell

Part 1: Your Details

First name *

Last name *

Phone number

Email *

Address 1 *

Address 2

City *

State *

zip code *

Country *

Birthday

YYYY

What's your current occupation? *

What's your annual income? *

Part 2: Your Socials

Instagram handle *

Facebook handle

Youtube handle

Part 3: How Can We Help?

What is the biggest obstacle you are facing right now that is moving you away from achieving your goals? *

What is your current experience to date in developing this area of your life? (How often have you been going out etc) *

What are some of your sticking points? *

Falling into the friend zone

Running out of things to say

Approach anxiety

Deep level rapport

Connecting on an emotional level

Poor body language

Developing value

Communicating value

Qualification

Verbal escalation

Physical escaltion

Losing my virginity

Removing unwanted thoughts

Getting over an ex

Building meaningful relationships

Developing a social circle

Exploring different relationship models

Conversation starters

How to dress / style

Online dating

Texting / phone game

first date tips

same night sex

sexual technique / becoming a better lover

reading social situations

reading women / spotting the cues

Approaching in the day time

approaching in the evening

getting a phone number

flaky numbers

mindset issues

Other:

Required

How long have you been living with these issues?

What do you think life would look like if you had these issues fixed?

Where would you like to be within your social and dating life 6 month from now?

How satisfied are you in your social and dating life?

Disatisfied

Satisfied

Clear selection

How would you like to feel overall in your social and dating life?

Disatisfied

Satisfied

Clear selection

Now that you've rated yourself today, how does the score make you feel? (optional)

How would you rate your ability with women in its current state?

Dissatisfied

Satisfied

Clear selection

How would you like to feel about your overall ability with women ?

Dissatisfied

Satisfied

Clear selection

Now that you've rated yourself, how does this score make you feel?

How do you rate overall the quality of your past or present intimate relationships?

Dissatisfied

Satisfied

Clear selection

How would you like to feel in your intimate relationships?

Dissatisfied

Satisfied

Clear selection

Now that you've rated yourself, how does that make you feel?

How much are you willing to invest in order to reach your goals *

Part 4: Your Experience

Do you have any experience with our programmes? *

I have read Johnny's book 'Elite Seduction - Actionable tool for Love, Seduction and Dating'

I've attended the Impactful Connection Workshop

I've graduated from the Seven Day Programme

I have completed the Mentorship Programme

I have attended or seen one of Johnny's talks

I have one of Johnny's online products

I don't have experience

Anything else I should know about you?

I CONSENT TO RECEIVING EMAILS ABOUT ADVICE, UPCOMING EVENTS, PRODUCTS AND ADVERTISING. *

Yes

Required

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