The Fatherhood Application

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Area Code
Phone Number
3
What is your best email address? * This field is required.
example@example.com
4
Are you serious about becoming a Powerful Father Figure so you can dominate all areas of life including fitness, family and finances?* This field is required.
YESNO
5
What is your main health focus at this time? (Please be very specific so we can get the most out of our time together during our call)* This field is required.
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6
How long have you been struggling to reach your goals?* This field is required.
7
What all have you tried in order to reach your goals? (Please be specific: for example list any fad diets, weight loss programs, supplements, etc. that you have tried)* This field is required.
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Ok
8
What is your number one goal as a father?* This field is required.
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Ok
9
Be 100% honest - what do think is stopping you from hitting your desired goals as a father and becoming the most elite version of yourself?* This field is required.
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10
If you could get one thing from speaking with our team to make it an absolute win for you, what would it be?* This field is required.
11
If we're confident we can help you become a Powerful Father Figure & invite you to work with us directly, are you willing & able to invest in yourself?* This field is required.
YESNO
12
If we're confident we can help you become a Powerful Father Figure and dominate all areas of life are you ready to start immediately?* This field is required.
YESNO
13
Is there anything else you would like us to know or consider as we evaluate everything before your call? * This field is required.
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14
Have you watched The Fatherhood free training video to learn more about our approach? (If not you will be redirected to a new page with that video after you submit your application)* This field is required.
YESNO
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