Training Application
Please take your time and fill out the following application. This will be our gauge and determine how we proceed forward.

This information is 100% confidential and is NOT shared with anyone. The more raw and honest you are the better we can track your progress :)
Full Name *
E-mail (will send results here) *
Location (city, state) *
cell number *
Age *
Occupation *
Annual Income *
Social Media Account *
please provide a link to your Facebook and or Instagram profile
How do you meet women? *
Required
What results are you currently getting with Women? *
What is your most important goal with Women? *
What in your life would be different if you were able to achieve that goal? *
On a scale of 1-10 how serious are you about achieving your goal? *
not that important
I'll do whatever it takes and settle for nothing less
What is holding you back from that goal?
Do you have a gameplan or strategy to achieve your goal with Women? *
If so outline it below
Have you had training before? *
With who and when? How was it?
Budget For Training *
What is your rough budget range for training with me to get this area of your life handled?
How did you find out about me?
Why should you be accepted as a client? *
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 to work with me.
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