Application Form: 1-on-1 Options Mentorship with Chaim Ekstein

1

Full Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

What is your experience with trading options?* This field is required.

0–1 years

1–5 years

5–10 years

10+ years

5

What is the size of the account you are currently able to fund for options trading?* This field is required.

Less than $5,000

$5,000–$10,000

$10,000–$30,000

$30,000–$50,000

$50,000+

6

Have you ever been mentored on how to trade before?* This field is required.

YESNO

7

Do you have at least 1 to 3 hours a week available to dedicate to options trading and mentorship?* This field is required.

YESNO

8

How would you describe your ability to follow rules and stick to a system?* This field is required.

Extremely good

I try my best

I usually find ways to outsmart rules

9

What is your main goal with learning options trading?* This field is required.

To supplement my income

To eventually replace my income

To invest for future expenses

I don’t have a specific goal yet

10

The 3-Month 1-on-1 Mentorship requires a $10,000 investment. This is a one-time investment that gives you a lifetime skillset. Are you prepared to invest in yourself at that level?* This field is required.

YESNO

11

Is there anything else you'd like us to know?Use this space to share anything you feel is important — your motivation, background, goals, or anything else you'd like us to consider.