Diamond Coaching Application Form

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* This field is required.This is an application to join our Rock Hard For Life Diamond Coaching Program. You’ll be able to apply to work personally with Zander and his team to get throbbing Stage 4 Rock Hard Erections and last as long as you want in the bedroom for life. Once you fill out your application you’ll be able to select a time to speak with our team to go over your application and see if it's a fit to work together.
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Are you a man who wants to be able to get vein-popping Stage 4 Rock Hard Erections On Command And Last As Long As You Want In The Bedroom Without Dangerous Drugs, Irreversible Surgeries, Or Injections Into Your Penis?* This field is required.
Yes
No
3
Which of the following best describes your goals with reversing your PE and/or ED?* This field is required.(Check All That Apply)
Getting Your Erections Back To Normal Naturally
Being Able To Maintain Stage 4 Rock Hard Erections In The Bedroom
Lasting As Long As You Want / Having Complete Ejaculatory Control
Restoring Your Morning Wood
Recover Lost Penis Size From Penile Atrophy
Increase Libido and Confidence In The Bedroom
Being Able To Go Multiple Rounds With Your Partner
4
What makes you interested in permanently solving your sexual performance issues without dangerous drugs, irreversible surgeries, or injections right now though?* This field is required.Check All That Apply
I Want To Protect My Health From Major Life Threatening Risks
I Want To Feel Like A Complete Man Naturally Without Pills, Surgeries, Or Injections That Only Make The Situation Worse Over Time
I Want To Be Able To Be Spontaneous With My Partner Without Complicated Pre Planning Every Sexual Encounter
I Want To Have Complete Confidence Inside And Outside The Bedroom
My Relationship Is At Risk And I Don’t Want To Lose My Partner
I Lost My Last Relationship Because Of My Performance Issues And Don't Want To Lose Another Dating Or Relationship Opportunity Because Of My Sexual Performance.
5
If you started getting and maintaining throbbing stage 4 rock-hard erections on command and last as long as you want in the bedroom, what would best describe what your rock-solid bedroom performance would do for you specifically?* This field is required.
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Large
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Small
Ok
Ok
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What is your current occupation?* This field is required.So that we might understand how your daily activities may be contributing to your bedroom performance
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What is happening in your life right now that inspired you to make a change and do something different to get your erections back to 100%?* This field is required.
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Large
Normal
Small
Ok
Ok
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What is your relationship status?* This field is required.
Single
In a committed relationship
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If you were able to get Vein Popping Stage 4 Rock Hard Erections On Command And Last As Long As You Want In The Bedroom Both Permanently And Naturally At Any Age Would you be willing to make a financial investment in this part of your life?* This field is required.
Yes
No
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What makes you interested in solving this Holistically And Naturally with our methods and the Impact Point Matrix instead of using Dangerous Drugs, Irreversible Surgeries, Or Injections Into Your Penis?* This field is required.Check All That Apply
I don't want want to ruin my health or die from these treatments
I don't want to be dependent on a pill or injection I want to be rock hard for life naturally
I want a permanent holistic solution that will last a lifetime and not a quick fix band aid that will make my situation worse and make me dependent on Big Pharma over time
I don't want my partner to feel like I need a pill or injection into my penis to get hard for them.
I want to last as long as I want naturally without numbing creams, antidepressants or thinking about my grandma.
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If you would like to work with Zander Holt and his Team more closely on a Customized And Accelerated Plan there is a financial investment to do so. Are you prepared or able to make an investment in your sexual health and functioning?* This field is required.
Yes
No
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What's your name?* This field is required.
First Name
Last Name
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What’s your best email address?* This field is required.
example@example.com
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Phone Number (For The Call)* This field is required.
Please enter a valid phone number.
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