Maximized Man Elite: Application Form

1
To confirm, you are filling this out because you want to build a leaner, stronger, healthier body, and become a Maximized Man, correct?* This field is required.
Yes, I am serious and want to learn more about becoming a 'Maximized Man'
No, I am going to leave this page immediately
2
What's your name?* This field is required.
First Name
Last Name
3
If you join 'Maximized Man', what goal do you want to achieve?* This field is required.
I want to lose weight...
I want to build muscle...
I want a better, healthier lifestyle...
I want to feel more confident in my own skin...
4
What SPECIFICALLY makes you interested in joining 'Maximized Man' though? Pick the #1 thing you're struggling with below...* This field is required.
SPEED: Compared to figuring all this out by myself, I want a unique plan that fits me personally and results I can achieve in 90 days (opposed to 6 months)...
MINDSET: I need to improve my mindset and break past the limiting beliefs I have so I can achieve more...
ACCOUNTABILITY: I need someone that wants to see me win and can hold me accountable to my goals...
5
What is your current occupation and how long have you been doing it?* This field is required.Work environments have a huge impact on stress, and therefore our health goals. This helps us understand what type of obstacles we'll be up against
6
Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?* This field is required.
Yes, I have a significant other and they are very supportive
Yes, I have a significant other but this is my decision to make
Yes, I have a significant other but they need to be on the call with me to make a joint decision
No, I do not have a significant other
7
Last Question! If you were to find a way to reach your dream body, optimize hormonal function, and learn how to keep your results for LIFE, making Maximized Man the last coach you’ll ever need to hire - would you be willing (and able) to invest in getting the help necessary to get there?* This field is required.
Yes, I have the cash flow to invest in myself
Yes, I may or may not have the cash flow, but I'm resourceful and or have access to credit
No, my cash flow is month-to-month and I have no access to credit
8
What's your best email?* This field is required.
example@example.com
9
What's your best phone number?* This field is required.(Click 'SUBMIT' once you answer)
Area Code
Phone Number
Should be Empty: