JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
THE MAGNETIC MAN PROTOCOL
Fill this form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
Telegram or X handle (so you can reach out)
*
Your answer
Email Address
*
Your answer
Age
*
Your answer
What’s your current dating life like?
*
Your answer
How many dates do you get per week right now?
*
0
1-2
3+
Inconsistent
What are your biggest struggles with dating?
*
Your answer
Why do you want coaching right now?
*
Your answer
Are you willing to invest time, energy, and money to fix this?
*
Yes
No
Not sure
If accepted, how soon can you start?
*
This week
Next week
Within 30 days
Do you understand this is a premium offer, not a cheap course?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report