Leveling Up As a Man
What is Your Age?
20-29
30-39
40-49
50-59
60+
Which are most important to you right now?
Success in work/financial wealth
Remarkable Family Life
Longevity of Body and Mind
Results in the gym (low body fat/lean muscle)
Daily energy and focus in all you do
Intimacy/performance in the bedroom
I WANT ALL OF THE ABOVE
How are you feeling overall physically and mentally (fitness, productivity, sex, confidence) as a man?
Honestly, I’m struggling
A few bright spots, but meh overall
I would say I’m doing “pretty good"
Things are trending in right direction but I want to be better
I’m absolutely crushing it on all levels
I'm the leader in my network and want someone to push me to a new standard
What is the single biggest problem you are attempting to solve on a day-to-day basis?
My fitness level (body fat, muscle, strength, cardio)
My energy levels are inconsistent or low
My body isn't doing what I want it to do - pain, tightness, weakness
My brain isn’t sharp/focused
Excessive Reactivity and Impulsivity
Fear. Fear of failure, fear of judgment, fear of loss, fear of success
Stress
Hunger
Prioritization
Lack of commitment and follow through in this area
I lack that “male drive” (motivation & testosterone)
All of the above
None of the above
What do you think is holding you back?
Don’t know what to do in some areas
Don’t have enough accountability
Trying to do too much at once. Can’t seem to manage it all on my own
My body and mind are just not operating the way I once did
I need an effective life system that allows for a thriving body and mind while not dropping what matters most
Nothing. I just know there are experts that can accelerate my trajectory
All of the above
What is the one physical thing that you want most?
I want to look leaner and stronger
I want to feel better overall
I want to be focused/productive
I want better performance (gym, sports, or bedroom)
I want more confidence
No one thing, all of the above
Have you attempted in the past to attain this goal?
No. This is a new one for me
Yes. I've tried and had some success, but I want more
Yes. I've tried on my own with little success
Yes. I've worked with coaches in the past
Which of these avatars best suits your ideal 12-Month outcome?
Strong Athlete - I want to be strong, athletic and move well
MAX Muscle - I want to build maximum muscle
Lean, Healthy, Muscular - I want to transform - both gain muscle and lose fat
Rapid Fat Loss - I just want to get as lean as possible
Elite Muscle & Longevity - I’m already fit and strong. I want to push to a new level and focus on long term outcomes
How are you currently supporting your process?
Free information (articles, podcasts, youtube, etc.)
Information products (books, e-books, programs)
Group or membership products
Group coaching
1-1 coaching
More than one of the above
How confident are you in your own ability to set and follow through on health and fitness goals?
100% confident - I just need the right plan for me
Somewhat confident
I’ve tried in the past unsuccessfully
Honestly, I doubt myself in this area
If you could be guided to guaranteed success in each core performance goal - how you look, feel, and perform - how willing are you to invest?
Just looking for information (low)
Willing and able to invest in a program (medium)
Willing and able to invest in working with a Muscle Intelligence certified coach (high)
Willing and able to invest invest in working 1-1 with Ben himself (highest)
Are you ready to start NOW?
Yes
No
No, but I am in the next 30 days
Are you willing to do a LIVE 1-1 with an MI Coach to determine goals, obstacles, and mapping your personal blueprint of exactly what to do for next level results?
Yes
No
First Name
Email
SUBMIT
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