Discovery Call Form

Discovery Call Form

Take a minute to fill out this quick form so we can see if we’re a good fit
Full Name*

First NameLast Name
Age
E-mail*
example@example.com
Phone Number
Please enter a valid phone number.
Location
Where are you based?
Occupation
Who is your call with?*

ChrisMiriam (Mimi)Alice
What are you looking for help with? Please provide a detailed summary *
Have you received any other help from other coaches/therapists/products for this? If yes, why do you think you didn't get the result you wanted?*
Have you used any DGR programs/products in the past? Please provide info.
Are you willing to put in the work, or are you looking for a quick fix?

Willing to put in the workI'm looking for a quick fix
Are you ready to invest both time and money into doing the best rehab/training possible?

I'm readyI'm looking for a quick fix
Should be Empty: