Clone of Keep It Off Academy

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

What is your name on Facebook?Facebook handle

4

When you heard about Fierce After 40, what made you think "that's for me"?* This field is required.

5

What's the thing that keeps nagging at you — the thing you keep coming back to thinking 'I really need to deal with this'?* This field is required.

6

What areas of your life matter most to you right now?* This field is required.CHECK ALL THAT APPLY

Physical health & body

Relationships

Purpose

Social life

Career

Personal growth and mindset

Family

Faith or spirituality

7

Which of these feels furthest from where you want to be?* This field is required.

8

Describe the fierce version of you. How does she show up? How does she feel?* This field is required.

9

What does her life actually look like — specifically? Don't be modest.* This field is required.

10

What's been standing in the way of this?* This field is required.

11

Are you ready to do some uncomfortable work to get there?* This field is required.

YESNO

12

Fierce After 40 is a premium, high-touch coaching investment. Are you ready, willing, and able to invest in yourself at this level?* This field is required.

Yes I have the cash flow to invest in myself.

Yes, I may not have the cash flow but I'm resourceful and/or have access to credit.

No I do not have the means to invest at this time.