Omega Man Coaching Program Official Application Form
Please fill out in as much detail as possible. You must be over 18 to be considered!
Full Name *
Your answer
What is your email? *
Your answer
Age *
Your answer
City/State/Country *
Your answer
Occupation *
Your answer
What is the biggest challenge you are having with women and dating? *
Your answer
Why do you believe the things that you have tried haven't worked for you yet?
Your answer
If you could magically wave a magic wand, what would your dating life look like? *
Your answer
Do you believe it's important to INVEST in improving your skills and education so that you can get a quality girl? *
If I can personally help you get to 5 dates per month with beautiful women (even if you might think they are out of your league) within 60 days would you be willing to invest if you could see the results, and the program had a guarantee? *
What is the best phone number to reach you at? *
Your answer
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