#1) Your name: (REQUIRED)
#2) Your Age:
#3) City,
State and Zip code:
#4) State your specific transformation goals, (with inches, or sizes,
for fitness needs) with a time frame to transform! (instead of just "
lose weight" or "get rich").(REQUIRED)
#5) Include your availability schedule, including your TIME ZONE, the
next 48 hrs. I.E. Monday from 2pm-4pm EST (REQUIRED)
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday From Hour 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 AM/PM AM PM
To Hour 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 AM/PM AM PM
Time Zone USA Est Ct Mt Pt #6) Include your phone # for your FREE tele-consultation, including the
area code! (REQUIRED)
#7) Your "Seriousness" rating:
On a scale of 1-10, how SERIOUS are you about getting online help for
achieving your most needed GOALS/RESULTS from a top level coaching
professional? If not a "10" WHY NOT?
#8) To receive Complimentary months, or even a FREE YEAR:}, of coaching,
enter some e-mails addys here, (&/or phone #'s if you want to increase
you chances) of who u think might be interested in this form of online
coaching. They will be contacted via e-mail, for a FREE online coaching
tele-consultation, & when they get on the program you get a free month
of coaching!
#9) Your E-mail address: (REQUIRED)
#10) What form of coaching package payment (after the week trial) will u
use to secure your FREE week?
Credit Card
E-check