Application

Name *

First Name

Last Name

Phone *

(###)

###

####

What is your primary goal for the next 90 days? *

🏆 Build unshakable confidence

🧠 Overcome anxiety and mental barriers

🚀 Gain clarity and focus on personal or professional goals

✨ All of the above

What’s currently holding you back from achieving your full potential? *

😰 Overwhelming anxiety or self-doubt

🌀 Lack of structure or clear direction

⏳ Struggles with consistency or follow-through

🛑 Feeling stuck or unsure how to move forward

How ready are you for a breakthrough in your mindset and performance? *

🔥 100% ready—I’ve been waiting for this!

💪 Motivated but need the right tools and guidance

🤔 Curious but unsure if I’m ready to fully commit

🛑 Not ready yet

Why do you feel now is the right time to invest in your transformation? *

🌟 I’m tired of feeling stuck and want lasting change

⏰ I’ve tried doing it on my own, and now I need expert guidance

🚀 I’m ready to unlock my potential and elevate my performance

🤔 I’m exploring options but haven’t fully committed yet

How important is personalized coaching to achieving your goals? *

🌟 Extremely important—I need tailored strategies to succeed

🧠 Very important—generic solutions haven’t worked for me

🤝 Somewhat important—I’d like expert input and accountability

❓ Not sure yet

Are you ready to invest $2,997 in the RPM 90-Day Coaching Program to achieve the breakthrough and transformation you’re looking for? *

✅ Yes, I understand the value and am ready to invest in myself

💭 I’m interested but have questions before committing

❌ No, I’m not ready to invest at this time

What excites you most about the RPM 90-Day Coaching Program? *

🔑 Breaking through mental barriers and unlocking potential

🛠 Tailored tools and strategies for sustainable growth

🎯 Having expert guidance to stay on track

🏋️ Building resilience, confidence, and clarity

You are needing a breakthrough in your performance as an *

Athlete

Artist

Entrepreneur/Business Person

Other