OTO application Card Form

1

Occupation* This field is required.

2

Age* This field is required.

3

Weight* This field is required.

4

What is your goal? Lose 20 lbs? Gain 20 lbs. of muscle? Overcome depression? Be specific. Doesn't just have to be a physical goal.* This field is required.

5

What would be the most important criteria for your success as we work together?* This field is required.

6

Is your health valuable to you? Be HONEST. You will not be considered for coaching if you do not. If you say YES, explain why below.

7

What have you tried in the past and why hasn't it worked for you? What's stopping you from hitting your goal?* This field is required.

8

On average how much money do you spend on coffee each week? If none put N/A* This field is required.

9

On average how much money do you spend on energy drinks each week?* This field is required.

10

On average how much money do you spend on eating out each week?

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On average how much money do you spend on alcohol each week? * This field is required.

12

On average how much money do you spend on smoking each week?* This field is required.

13

On a scale of 1-10... 1 being I'm satisfied where I am and 10 being I'll do anything to reach my goal. What number are you?* This field is required.

14

We are only willing to work with people who are READY to financially invest in themselves. Are you ready RIGHT NOW to make that decision?* This field is required.

YESNO

15

Are you willing to invest $200+ per month in YOURSELF?* This field is required.

YESNO

16

Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)* This field is required.

YESNO

17

What would you expect from me as your coach if we decide to work together?* This field is required.

18

Space is very limited and I want to make sure this is a good fit, why do you think you would benefit from 1-1 coaching or be a good addition to our mentorship, if accepted?* This field is required.

19

What is GOOD about NOT changing? What is working for you with the status quo? What are the benefits of staying the same* This field is required.

20

What would be BAD about changing? If you changed, what might you have to give up or lose? How would your regular routine be interrupted? * This field is required.

21

What would be GOOD about changing? If you changed, how would it be helpful or beneficial? What new opportunities and possibilities could open up? * This field is required.

22

What might be BAD about NOT changing? If you didn't change, what bad things could happen?* This field is required.

23

If you keep going the way you're going, what might things look like in the future (say, 10 years from now?) * This field is required.

24

Our programs are about teaching, not just ordering you around.

I'm not the cheapest but I solve your issue forever. After the program, you should never need another coach or program again because I'll teach you every last trick in the book pertaining to diet and exercise.

25

With that said, are you ready RIGHT NOW to move forward? (Be ready to move forward after completing this form or consultation IF YOU and me decide you're a good fit for this program. IF you are not a good fit I will let you know and refer you to someone else)* This field is required.

26

If accepted how soon are you looking to get started? (if you aren't ready please just wait and schedule when you can. I expect those who feel it's a fit to move forward. Those who don't take actions are 95% more likely to continue to do nothing). Remember this: WINNERS take action and worry about the rest later* This field is required.

27

Would you like to....

Have a personal consultation video done for you? (30-45 mins)

Send me a text to ask any questions you might have?

Neither, I do not want to waste anymore time. I'm ready to take action right now and get results because I know this investment is right for me.

28

*(if you selected to view a consultation video) I will be available to watch the consultation in a quiet, distraction free environment at an un-interupted time.

Yes

Selected no consultation

29

Name* This field is required.

First Name

Last Name

30

Email* This field is required.

example@example.com

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Phone Number* This field is required.

Please enter a valid phone number.

32

Social Media Account Link* This field is required.

33

Which Coach Are You Applying For?* This field is required.

34

Are You Former / Active Military/Police/Fire/First Responder?* This field is required.

Military / Police / Fire

Fire Responder

None