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Full Name
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Email
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Phone Number
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Where are you located?
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Instagram handle
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What do you do professionally—and what kind of pressure does it put on your time, stress, and physical health?
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What’s your primary goal over the next 6–12 months?
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Why now? Why is this finally important enough to fix?
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What strategies or programs have you previously tried to address these challenges? What were the outcomes?
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Are you looking for the cheapest coach or the one who gets the best results?
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I want results—I’m done wasting time
I’m price shopping
Not sure yet
How do you currently invest in your performance (coaches, concierge medicine, therapy, etc.)?
What’s the cost of not solving this problem in the next 12 months? ( Stress, health, confidence, relationships, performance... quantify it.)
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When you make high-level investments (business, health, or otherwise), what do you look for? Ex: Results, access, exclusivity, expertise, personalization.
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How do you typically make decisions about investments like this?
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I move fast when I see value
I need to consult my spouse/partner
I take time to think through large decisions
I'm just gathering info for now
Are you ready to be coached, challenged, and held to a high standard?
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Yes
No
I think so, but I’m a little scared (and that’s OK)
Do you have the time, energy, and resources to invest in your health right now?
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Yes
No
Do you feel like your body currently reflects the level of success you’ve built in other areas of life?
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Yes
No
Why or why not?
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What core values drive your decision-making and actions?
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. What made you reach out to us specifically?
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What would make you not a fit for a program like this?
What would success look like for you 6 months from now—beyond the scale or mirror?
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If we told you we only work with men who want to become the 1% in every area—does that challenge excite you or turn you off?
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Hell yes, I want to be the 1%
Sounds intense, but I’m open
That’s not what I’m looking for
Got a sense of humor? Cool. What’s something we should actually know about you before we talk?
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