Argent Alpha Upgrade
Making Men over 50 Harder To Kill
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
Age
*
Location (city, state, country)
*
Height (inches)
*
Ex. 5'5"
Weight (lbs)
*
Ex. 120 lbs
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Your Goals
What prompted you to contact Argent Alpha?
What prompted you to contact Argent Alpha?
*
Desire for a supportive community
Need for accountability
Interest in improving health and fitness
Other
What do you want to achieve in the next 100 days? Check all that apply.
*
Lose weight
Increase Energy
Get Stronger
Improve My Outlook On The Future
Reverse Age
Improve Sex Life
Gain Accountability
All Of The Above
Other
What do you want to achieve in the next 1 to 3 years?
What do you want to achieve in the next 1 to 3 years? Check all that apply
*
Reduce body fat percentage
Increase physical strength
Lose weight/burn fat
Enhance mental clarity
Maintain high daily energy levels
Reduce risk of injury
Achieve specific fitness goals (e.g., climb a mountain, complete a race)
Other
© 2025 Argent Alpha LLC. All rights reserved. |
ArgentAlpha.com
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Your Journey
What coaching, fitness, or lifestyle programs have you tried in the past?
*
What’s preventing you from accomplishing your health, wellness, and fitness goals? Check all that apply
*
Lack of accountability
Unclear focus
Difficulty sustaining progress
Lack of a support system
Time constraints
Financial constraints
Injury or pain
Limiting belief about what's possible
Other
Your Vision
Look into the future 3 years from now; describe your future self in as much detail as possible. Who do you want to become?
What will happen if you don't achieve these results?
Look into the future 3 years from now; how do you envision your future self?
*
Physically stronger
Mentally sharper
Reduced body fat percentage and increased muscle mass (e.g., through improved InBody scan results)
More confident
Capable of achieving specific physical goals (e.g., hiking Kilimanjaro, running a marathon)
Other
What specific benefits or results do you expect to see by the end of the first year?
*
What are your biggest concerns if you don’t improve your health and fitness?
*
Loss of mobility
Increased risk of injury
Decreased mental clarity
Reduced quality of life
Loss of relevance
Becoming dependent on others
Other
Commitment and Readiness
How did you learn about Argent Alpha?
*
LinkedIn
X
Newsletter
Podcast
Referral
Other
If you checked referral, who referred you?
Are you financially stable and able to afford investing at least $2,500 per year in your health?
*
Yes
No
Are you willing to be accountable to standards and goals you set?
*
Yes
No
On a scale of 1-10, how confident are you in your ability to commit to becoming Harder to Kill?
*
1
2
3
4
5
6
7
8
9
10
Unsure
Confident
1 is Unsure, 10 is Confident
This program requires a commitment and investment in yourself. You control the return on that investment. The Men who get results with our program also travel, have businesses, family, etc. In other words, they manage the obstacles and challenges in life and honor the commitment they made to themselves. Tell us more about your ability to commit to becoming Harder to Kill.
© 2025 Argent Alpha LLC. All rights reserved. |
ArgentAlpha.com
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