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The Immersive

Your full name

Email, phone number, WhatsApp. Preferred contact preference

Your age. Where are you based. The timezone you are mostly in.

What you do, and what it takes out of you: hours, stress load, travel frequency, entertaining, other.

Where you would want Rich based for the engagement, city and country

Timeframe. Roughly how long are you picturing: One week / Two to three weeks / A month or more / Not sure yet, advise me

When can you realistically begin on your side

Do you have a chef, a PA, or household staff who would need to be involved in embedding the protocol once it is built

Current training in full: structure, frequency, style, and who designed it

How you eat now, and the approaches run before

Supplements & medicines. List everything taken, doses included where known. Reviewed line by line on arrival

Blood work. When last tested, what was tested, and any flags. Regular panels or none at all, state it as it is

Recovery modalities in use. Tick all in use

Any assessments from clinics, previous trainers or apps, postural, movement, biomarker or otherwise, that should be reviewed on arrival

Across everything tried, what genuinely moved the needle

What was invested in, coaches included, that did not deliver, and what was missing

Injuries, surgeries, conditions or medications Rich should be aware of before designing the protocol

Which parts of your protocol do you most want taken off your plate entirely, and where do you want to stay closely involved

Definition of success. Twelve months from now, what has to be true, in numbers, in capability, in how you feel, for this to have been one of the best investments made

Any additional information you would like Rich to be aware of

PRIVACY NOTE

Medical and bloodwork answers are sensitive data. State on the form that submissions are confidential, stored securely, and seen by Rich only. The privacy policy already live on the site should cover health data collected here, and this form's contents should not be piped through any third party marketing tool.