Coaching program application
Fill out this form if you are interested in theSingleGuy coaching program. You must answer ALL questions to be eligible. If we think you are a good fit we will contact you by EMAIL.
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Email *
Phone number (This will allow us to contact you and schedule a phone conversation) *
What is your first name? *
How long have you known about me and what attracted you to my content? *
What is your age? We cannot accept any clients under the age of 21 unfortunately. *
What city do you live in? (nearest major city too) *
What country do you live in? *
What is your occupation? *
Do you feel like you need help in your dating life? *
What is your experience with women? *
Have you ever paid for coaching in the past?
Clear selection
How much are you willing to invest in yourself? *
On a scale of 1- 10 how do you feel about your dating life?
Could not be any worse
Could not be any better
Clear selection
What are your goals with women? *
What are your biggest challenges in accomplishing these goals? *
What are you doing to overcome these challenges besides reaching out to me? *
When are you looking to start the program? *
What are your social media handles? give me a link (Facebook, Instagram) What is the best way to contact you if we think you are a good fit? *
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