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Only fill out the form if you are serious about investing in professional help.

My coaching is for you if:

▪️you are ready to take full responsibility & change your life.

▪️you want to learn to master your impulses/urges/sexual energy & mind.

▪️you want to build discipline, healthy habits & transform your identity.

▪️you are able & willing to invest in yourself (time, energy & money).

What has led you to seek out professional help?

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How long have you been dealing with this?

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Why is now the time to change?

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How committed are you to fixing these challenges on a scale of 1-10?

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How committed are you to fixing these challenges on a scale of 1-10?

0

1

2

3

4

5

6

7

8

9

10

If my coaching would solve your problems, how much would you be willing and able to invest in yourself?

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If my coaching would solve your problems, how much would you be willing and able to invest in yourself?

A

$0, not willing to invest in myself

B

$400-$1000

C

$1000-$2000

What's your full name?

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What is your e-mail address I can reach you on?

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