Mentorship Application with Mike Whitfield, Master CTT
Please only submit this application if you are ready to COMMIT to making life-changing results and habits.

This application is designed to help me determine if you will be a good fit for my 1-on-1 Mentorship, a personal coaching program that teaches you how to find a healthy balance and lose weight without feeling overwhelmed.

After you submit your application, I'll reach out for your next steps. Let's jump in...
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First and Last Name *
Email *
What are the top 3 goals you want to accomplish with your health? (Be specific please. "Lose weight" is NOT specific. Lose 25-30lbs IS specific) *
What are your top 3 obstacles keeping you from reaching those goals? *
What have you tried previously to achieve your goals? Did it work? Why or why not? *
Why are you interested in working specifically with me? *
This mentorship is very "hands on" and not a "cheap" program. Are you willing to financially invest into your health or have the financial resources available?  *
Often, my clients confide with the financial decision-maker of the household (spouse, etc.) before making financial decisions (which I respect!). Is there anyone you make financial decisions with? If so, please have them attend the call. *
On a scale of 1-10 (with 10 being the highest level of commitment), how committed are you to getting the results you're looking for? *
Who in your life will be impacted by you NOT making this change to your body, health, and life... and how? *
Is there anything else you'd like to share with me or any specific questions I need to address? *
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