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Mind-Body Application Form

SECTION 1: Basics

First name*

Last name*

Phone*

Email*

SECTION 2: Fit & Commitment

Why are you applying to TTB Mind-Body Reset right now?*

What are you currently struggling with most?*

Emotional eating

Inconsistent routines

Low energy

Weight management

All of the above

What have you tried before?*

On a scale of 1-10, how committed are you to change in the next 12 weeks?*

SECTION 3: Investment Readiness

This is a paid, commitment-based program. Are you financially prepared to invest if accepted?*

Yes

Not Yet

Which tier are you most interested in?*

Reset

Performance

Elite

Not sure yet

SECTION 4: Logistics

Are you able to attend weekly virtual sessions?*

Yes

No

Any medical conditions, food allergies, or restrictions?*

SECTION 5: Final Gate

Why should I choose you for this cohort?*

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