Date Like You Mean It
90 Days to Confidence, Clarity and the Love You Deserve
Name
*
First Name
Last Name
Email
*
example@example.com
Age
*
Occupation
*
How Did You Hear About This Program?
*
What is your current dating status? Are you actively dating? Taking a break? Considering getting back into it for the first time in a long time?
*
What do you think are your biggest obstacles to finding love?
*
On a scale from 1-10, how much of a priority is finding love right now?
*
Not At All
1
2
3
4
5
6
7
8
9
Top Priority
10
1 is Not At All, 10 is Top Priority
The cost of this program is $2,500 (with payment plans available). If you are selected for the program are you prepared to make the emotional, financial and time investment required to make lasting changes in your life? If not, what's stopping you?
*
Submit
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