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Premium 1:1 Dating / Male Growth Coaching

Full Name

*

Email

*

Moblile Number

*

Instagram username

*

What’s the main reason you’re looking to improve your dating & male framing right now?

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What’s the biggest challenge you’re facing with women?

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A

Approaching

B

Confidence

C

Conversation

D

Overthinking

E

Keeping her interest

F

All of the above

Where do you feel most stuck in your personal growth as a man?

*

A

Purpose

B

Discipline

C

Body

D

Social skills

E

Lifestyle,

F

Mindset

G

Other

What’s the ONE area you want to level up the fastest?

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A

Confidence

B

Social presence

C

Approach skills

D

Messaging/DM game

E

Style & appearance

F

Mindset & discipline

What triggered you to finally take action today?

*

If we work together, what would a ‘win’ look like for you in the next 90 days?

*

Are you willing to follow a structured plan weekly?

*

If accepted, are you ready to invest in yourself?

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A

Yes, I’m ready

B

Yes, with a payment plan

C

Not ready