Name

Phone Number

Email Address

Are you able to commit to 3 hours per day at 6 days? Are you able to commit to 3 hours per day at 6 days? Yes No

You must be willing to learn and then implement what you’ve learned to become successful. Do you feel like you’re that kind of person? You must be willing to learn and then implement what you’ve learned to become successful. Do you feel like you’re that kind of person? Yes No

what is your Desire?

What is your big Problem to achieve your desire?

Why do you feel like you are a good candidate for this program?