I know you’re busy. Are you good to focus for 2 mins & fill this out, so I can actually help?
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Hell Yes, I’m ready to finally solve this, not just read about it
No - I am going to leave this page immediately
What Is It That You Desire and/or want to feel like?
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Where did you find Casey?
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Podcast
Instagram/Facebook
Tiktok/Youtube
What's Your Favorite Swear Word?
What is your Paid Profession? (what type of work do you do? This helps us understand your stress levels. We work primarily with women navigating active careers, or business. Examples: divorce attorney, HR Director, Physical Therapist, obgyn surgeon, nicu rn, Creative Director, Small Business Owner, etc. If you're fully retired with no current responsibilities, this container may not be the right fit.)
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What is your current age? (We work specifically with women ages 30-45)
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30-35
35-40
40-45
45-50
50-54
55+
Are you resourced and ready to invest in fixing this at the root?
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No
Yes, I'm resourced and ready to change
What is your Paid Profession? (what type of work do you do? This helps us understand your stress levels)
How much have you spent trying to fix this over the years? (Programs, coaches, supplements, testing, medications, fitness plans, doctors, etc.)
Less than $1,000
$1,000-$5,000
$5,000-$10,000
$10,000-$25,000
$25,000+
What have you tried before to solve this? Coaches, programs, doctors, supplements, surgeries... give me the real list.
What's the SPECIFIC pattern in YOURSELF that keeps you stuck? Be honest, we don't judge here.
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I genuinely don't know what's in the way
Life gets busy and I stop / I lose accountability when no one's watching
I sabotage when things start working / I sink back into old patterns
Time management, I have too much going on and need help filtering what to focus on
I'm not stuck, I just need the right tools, team, and proximity to move faster than I can alone
What hit different for you in that video? Anything you heard that made your body say ‘wait… this might actually work’?
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What's your height?
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What finally made you decide this can’t wait anymore?
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I don’t do info calls. If I feel like I can help, you'll see a private next step invite after you fill this out. You’ll know exactly what I’d recommend (offer, timeline, structure) and if it fits, we go.If not, you’ll still leave with answers. Sound good?
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Yes
No
How long have you been following me (Casey)?
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Just found her
2-4 weeks
6+ months
Over 1 year fan girl status
Are you done pretending you're ‘fine’ when you know your next level is stronger, hotter, freer, and built for more?
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HELL YES!
No, It's not that bad
What's your name?
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First Name
Last Name
What's your best email?
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Confirmation Email
example@example.com
Phone number if we need to connect directly:
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👋🏽Instagram / Facebook to match you to your profile:
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Last question and be honest:
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A) I'm just clicking around to see what this is
B) I want this but I'll probably ghost when you reach out
C) I'm serious. I'll respond when you contact me
Submit
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