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I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Tell us a little about yourself!

Q1/6- What are you hoping Active Life might be able to help you with? Please describe as much as possible.

Q2/6 - How long has that been something you've been wanting to do?

Q3/6 - Have you already tried anything else to solve this? If so, what?

Q4/6 - If you've already tried other potential solutions, did they work? Why do you believe they worked or didn't work? What was missing that you are hoping we can provide?

Q5/6 - Is finding a solution a priority for you? Students with a strong sense of importance and urgency are the most successful in the program. *

If AL-P is a good fit, what's your ideal timeline for getting started?

Assuming an ROI, what's the maximum you could invest into yourself and your business?

You marked that you have less than $1,500 available to invest into yourself. The AL-P mentorship is a $1,315 minimum commitment to get started. If you decide AL-P is a good fit, do you have access to funds, or would you want to hear more about alternative programs that might be a better fit?

You marked that finding a solution isn't a priority. Please only proceed to booking a call if finding a solution is a priority. Do you want to proceed?

Where are you located?

Which best describes you?

Thank you for filling out the intake survey!

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