The Fatherhood Application

1

What brings you here? (Please check all that apply)* This field is required.

I'm looking to lose weight

Build up my confidence

Be a better role model for my family

All of the above

2

Do you have kids? * This field is required.

YESNO

3

What was your most recent weight and what is your goal weight?* This field is required.(Example: 275 > 210)

4

Have you ever worked with a coach before? If so, what was your experience like?* This field is required.

5

What solutions have you tried? (Please check all that apply)* This field is required.

Fad diets (Keto, Whole 30, Paleo, etc.)

Other programs (Noom, Weight Watchers, P90X, Insanity, etc.)

Replacement shakes or MLMs (Optivia, Herbalife, Isagenix, etc.)

Worked with a coach

All of the above

6

What do you do for work?* This field is required.

7

Are you the only one involved in purchase decisions?* This field is required.

Yes - I make all purchase decisions myself and I'm in a position to do so

No - I need to consult my spouse or someone else

8

If our service is aligned with your goals AND you're willing to invest in your health and your future growth, when do you want to start?* This field is required.

Immediately

Within a week

In the next few months

I'm not

9

Direct coaching with our team can be a big commitment since we've helped hundreds of fathers solve their weight loss struggles for good and become the most elite version of themselves. That said, which best describes your financial situation?* This field is required.

I HAVE the financial resources to work with The Fatherhood team (mid 3 figs to 4 figs per month)

I CAN GET the financial resources to work with The Fatherhood team (mid 3 figs to 4 figs per month)

I DO NOT have the financial resources to work with The Fatherhood team (mid 3 figs to 4 figs per month)

10

We are selective in the clients we work with and only work with Dads who are committed to TRANSFORM themselves and their lives. Do you feel you would be a good fit to work with, and why?* This field is required.

11

Name* This field is required.

First Name

Last Name

12

What is your best email address? * This field is required.

example@example.com