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T.L.A Application form

Thank you for your interest in The Leader's Asset (T.L.A).

This is a private 3-month program that helps executives and busy leaders like you improve their energy, promote their health, and perform better in their work and life — without adding more stress or complicated routines.

Please take a few minutes to fill this short form. 


We will review your application, assess if this program is the right fit for you and get back to you within 24–48 hours.

Full Name

Preferred Name (what should we call you?)

Age

Your current role or position?

Where do you live? (Country + City)

Best WhatsApp Number

Email Address

What is the biggest challenge you currently face with your energy, health, or ability to stay at your best?

Are you determined to commit to at least 3 months of this program?

A
B

Are you able and willing to do a preliminary health check and blood tests (blood pressure, BMI, full blood count, HbA1c, cholesterol, and any other tests we may recommend) within the first 10 days? (Note; We will only recommend tests that are tailored to your needs)

A
B

Are you ready to invest 19,900 XAF (31$) per month for this 3-month program?

On a scale of 1 to 10, how ready are you to commit to 3-months of this program? (1 = not ready, 5= Need some more time, 10 = fully ready)

How did you hear about us? (LinkedIn, Friends, family, etc)

Is there any important information you would like us to know?