Unlock Your Breakthrough

Hey man, I'm honored you're considering working with me 1-on-1! If you’ve been grinding hard but still feel stuck - caught between flashes of progress and frustrating slips - then this is where things change. I've got a number of different coaching options to help any serious guy reach his goals. However, only a handful of men are accepted into my coaching at any given time, and this questionnaire is how I decide who could be a good fit for what I do.

If you’re serious about breaking free from what’s been holding you down and ready to unlock your next level, complete the form below and once I review it, I'll email you about next steps! - Mark Queppet Note: All submitted info will be kept confidential and NEVER shared with 3rd parties.

Basic Info

Name

Email

Phone / Telegram Handle (optional, but helps with follow-up)

Your Situation

No need to overthink your answers here, but the more detail you give me the better I can help you.

What are the main goals you want to achieve with coaching?

If coaching worked out amazingly, what are the biggest of outcomes would you like to experience?

What are the obstacles you've been running into?

What's been keeping you stuck (think both internally and practically)? Feel free to also include any programs or approaches you've tried before, along with what's worked and what hasn't.

What are the biggest downsides for you if nothing changes in your situation?

What will you miss out on? What pains will you have to keep living with?

What are the biggest upsides for you if you can achieve your main goals?

Think about how your health, career, finances, relationships, fun, and spiritual life stand to improve.

Coaching Readiness

Scale of 1-10, how ready are you to make a serious change?

If invited to move forward, are you prepared to invest financially and personally to get results?

A

Yes

B

No