1. I know you’re busy.You good to focus for 2 mins & fill this out, so I can actually help?
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yes
No
What’s going on with your body or life that you’re DONE tolerating?
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(Ex: Low energy, nothing working, snapping at kids, feel disconnected from myself, always burnt out, etc.)
What made you feel like I might actually help?
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A post
the no-bullshit energy
a friend
overall vibe
testimonials
If your body + life changed in 30 days… what would feel different?
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(Don’t overthink. What do you want most?)
What do you feel keeps knocking you off track or slowing progress?
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(Be honest — even if it sounds dumb.)
What kind of support feels best right now?
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Just want to explore for free first, I’m curious but not ready to move yet
I want a deeper upgrade + more access to Casey/Skip ( the coaches)(custom strategy, more hands-on $5–10K range)
Ready to feel better this weekself paced reset I can start now and ease into $97–$222 range
I’m done waiting, I want weekly coaching + clear structure($250–$444/month feels doable if this works)
how soon would you want to start?
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Today
I’d need more info
Within a few days
Other
Anything else you want to tell me that might help me guide you?
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(Ex: “My hormones are a mess,” "My relationship is on the rocks" “Been stuck for years,” “I just want to feel like me again,” etc.)
What's your name?
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First Name
Last Name
Best email for next steps + access:
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Confirmation Email
example@example.com
Phone number if we need to connect directly:
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👋🏽Instagram / Facebook to match you to your profile:
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Submit
Should be Empty: