Argent Alpha Upgrade
Making Men over 50 Harder To Kill
Name
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First Name
Last Name
Email
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example@example.com
Mobile Number
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-
Area Code
Phone Number
How old are you?
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What is your height?
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How much do you weigh today?
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What prompted you to contact Argent Alpha?
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What do you want to achieve in the next 100 days? Check all that apply.
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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?
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List any coaching, fitness, or lifestyle programs you have tried in the past and your experience with them.
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What’s preventing you from accomplishing your health, wellness and fitness goals? Check all that apply
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I Lack Accountability
I'm Not Sure Where To Focus
My Spouse/Partner Isn't Supportive
I Haven't Been Able To Sustain Progress And End Up Going Backwards
I Wonder If It's Too Late To Make Significant Changes
I Don't Have A Support System
I Bite Off More Than I Can Chew And Lose Confidence
I'm Afraid What Others May Think Of Me
Other
Look into the future 3 years from now; describe your future self in as much detail as possible. Who do you want to become?
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What specific benefits and results would you expect to receive by the end of the upgrade? What is life like once you become the future self you described above?
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What will happen if you don't achieve these results?
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Are you financially stable and able to afford investing at least $2,000 per year in your health?
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Yes
No
Are you willing to be accountable to standards and goals you set?
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Yes
No
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.
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Thank you for completing this form. We will contact you within the next 24 hours regarding next steps.
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