Welcome

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Are you currently in a position to commit to your personal growth at this level?* This field is required.

Yes, I’m ready

I’m unsure

No, not at this time

4

Pain Point Clarity* This field is required.

5

Desired Transformation* This field is required.

6

Accountability Readiness (1–10 scale)* This field is required.

Score ≤ 6

Score ≥ 7

7

Which statement best describes you?* This field is required.

I have the resources and I’m ready now

I’ll need to move some things around but I can make it work

I’m not ready financially

8

Lead Type

9

Self-Sabotage Awareness* This field is required.

10

If you’re approved, are you prepared to take immediate action and secure your spot?* This field is required.

Yes, I’m all in

I want it, but I need more time

No, not right now

11

What Type of Coaching are you applying for? * This field is required.

12

What are your health, fitness, and mindset goals—and where do you need support?* This field is required.

13

Have you invested in your health, fitness, or personal development over the past year? If so, how much?* This field is required.

14

On a scale of 1-10 how serious are you about elevating your life and getting into shape?* This field is required.

15

Why do you think you would make a good client? * This field is required.

16

Why do you think P.A.S.S is the right fit for you?* This field is required.

17

Are you ready to financially commit to pursuing your goals?* This field is required.

Yes, I'm ready

No, I'm not ready

18

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. You can reply STOP to unsubscribe at any time* This field is required.

Yes, I consent

No, I do not consent

19

You’re ready! This is exactly the mindset it takes to break cycles of self-sabotage and elevate your life. Your application is approved to move forward. Secure your spot now—don’t let hesitation rob you of the breakthrough you’ve been waiting for. Let’s get it!

20

I respect your honesty. But let’s be real—transformation doesn’t come when we’re halfway in. It comes when we decide we’re done playing small. When you’re truly ready to invest in yourself and put action behind your words, this door will still be open. Until then, keep building your discipline.

21

Thank you for your interest. Built But Not Broken isn’t for everyone—it’s for those who are ready to stop self-sabotaging and invest fully in their growth. Right now isn’t your time, and that’s okay. But when you’re ready to bet on yourself, you’ll remember this moment. Until then, keep working on your foundation.

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Accountability is the engine of transformation. If you’re not ready to be coached, challenged, and corrected, then you’re not ready to win at the highest level. Build that muscle first—because when you come back, I need you fully coachable, not halfway in.