Home
Coaching
$7 Social Freedom
21 Day Social Freedom Challenge
Coaching Calls
Comedy Therapy for Social Freedom!
Direct Dating Bible
In-Person Training
Online Coaching
Free Stuff!
Direct Dating Bible Sampler
First Impressions that Don't Suck
Free Training Videos
The 7 Sins of Seduction
The Social Freedom Secret
Schedule
Blog
About
Products
Contact & FAQ
Get Our Emails
Sasha's Story
Meet Coach Mike
Affiliates
Merchandise
Please complete this form if you have signed up for a
Social Freedom Intensive!
Social Freedom Intensive
Pre-Training Questionnaire
Please fill out as accurately and honestly as possible – this helps us make sure you get the most out of your training!
First Name *
Last Name *
Birthday (DD/MM/YYYY) *
Email *
Phone *
What do you do for a living? *
Training Location *
Training Start Date (Day 1 of your chosen program) [DD/MM/YYYY] *
What do you want to get out of this coaching? What do you want to achieve by the end that would make you a happy customer? *
When it comes to having more social success, what are your biggest Fears? Be specific (e.g. "I'm afraid people will laugh at me") *
Have you ever had a negative experience that caused you to be fearful of people? *
Did you have a "Turning Point" where you decided you HAD to do something? What was it? *
Describe how and why you're completely committed to getting as much as possible out of this course. *
What 'clique' were you in at Highschool, University & Work? *
How would you rate your overall Happiness in Life? (0-10) *
How would you rate your overall Energy level throughout the day? (0-10) *
How would you rate your Fitness? (0-10) *
How would you rate your Fashion sense? (0-10) *
What Hobbies / Interests do you have? *
What does an average Weekday look like for you? *
What does an average Weekend look like for you? *
What are 3 crazy/funny/interesting/out of the ordinary things you've done in the past 6 months - 1 year? *
Name a person (living or dead) whom you most admire, and why? *
What are your long-term Goals in life as a whole? *
How many approaches have you done ever? *
How many approaches have you done in the last 6 months? *
How many approaches have you done in the last 1 month *
What usually happens? What are your sticking points? *
How confident are you in yourself? (1-10) *
What's your overall comfort level with social situations, 0-10 *
What are 5 of your Strengths? *
What are 3 of you Weaknesses? *
What are your Limiting Beliefs that you're aware of (e.g. "I'm not worthy or interesting enough") *
How did you find out about us? *
Have you taken any training or bought any products, services, DVDs, books, etc from any other companies? *
Submit
Home
Coaching
$7 Social Freedom
21 Day Social Freedom Challenge
Coaching Calls
Comedy Therapy for Social Freedom!
Direct Dating Bible
In-Person Training
Online Coaching
Free Stuff!
Direct Dating Bible Sampler
First Impressions that Don't Suck
Free Training Videos
The 7 Sins of Seduction
The Social Freedom Secret
Schedule
Blog
About
Products
Contact & FAQ
Get Our Emails
Sasha's Story
Meet Coach Mike
Affiliates
Merchandise