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First name
*
Last name
*
Email
*
Phone
*
How old are you?
*
What best describes you?
*
Former Athlete
Law Enforcement (or former)
Military (or former)
Busy Professional
Stay-at-home Mom
Business Owner
Other
What made you apply for Lioness of God - The Return
*
What area of your life currently feels most out of alignment?
*
Fitness
Nutrition
Discipline
Faith
Confidence
Marriage
Home Environment
Time Management
Self-Worth
Energy
Other
On a scale of 1-10, how confident are you that your best years are still ahead of you?
*
Have you already tried to solve this problem?
*
What would your life look like 12 months from now if nothing changed?
*
What would your life look like 12 months from now if everything changed?
*
What are the biggest obstacles preventing you from becoming the woman you know you can be?
*
Are you prepared to make a significant financial investment in your personal growth, health, and coaching if we determine this program is the right fit?
*
Yes
Possibly, depending on payment options
No
What level of investment have you made in yourself in the past?
Less than $500
$500-$1,500
$1,500-$3,000
$3,000+
If accepted into the program, how do you anticipate funding your investment?
Personal funds
Spouse/family decision
Payment plan
Unsure
Why is NOW the time to solve this problem?
*
If accepted into the program, when would you like to begin?
*
Immediately
Within 30 days
Within 60 Days
Other
Is there anything else you feel the need to tell me while I review your application?
*
Submit
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