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Men's Breakthrough Mastermind Application Form

Thank you for considering applying for the Men's Breakthrough Mastermind! Please be advised that due to limited availability (only 25 slots) and the program's intensity, you will need to complete a suitability check to become eligible.

The right mastermind group can be one of the most powerful catalysts to your personal and professional development.

I want to make sure this program is tailored to match the needs of its members, so please answer the following questions as honestly as possible so we can ensure the right fit.

Click the button below to start.

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Question 1 of 16

Phone Number

Question 2 of 16

Tell me about your family

Question 3 of 16

How do you make a living?

Question 4 of 16

Have you been in any masterminds before and if so, what was your experience?

Your Development

Proceed to the next questions..

Question 6 of 16

What work are you most proud of?

Question 7 of 16

What are your goals in the next 5 years?

Question 8 of 16

What is your biggest challenge that is stopping you from achieving the success you desire?

Expectations

Proceed to the next question..

Question 10 of 16

What unique value and contribution do you feel you can bring?

Commitment

Proceed to the next question..

Question 12 of 16

How serious are you about experiencing breakthrough in the important areas of your life? 1=Not really serious; 5 = Very serious

A

1 - Not really serious. I'm quite willing to stay where I am.

B

2 - Somewhat serious. I'm comfortable where I am, but mildly willing to learn about new possibilities.

C

3 - Moderately serious. I don't like where I am in life and want some clarity on what my options are.

D

4 - Pretty serious. I'm ready to make some real changes over the next year or two.

E

5 - Highly serious. I cannot live another DAY without experiencing BREAKTHROUGH - let me at it.

Question 13 of 16

Are you willing to invest four figures to be a part of this mastermind?

A

YES

B

NO

Question 14 of 16

If selected how would you be funding this opportunity?

A

Self-pay in full

B

Payment Plan

Question 15 of 16

If accepted into the Men's Breakthrough Mastermind, how soon can you get started?

Question 16 of 16

How did you hear about the Men's Breakthrough Challenge?

Confirm and Submit