Fearless Freedom Application / FEARLESS FREEDOM

Name *

Phone *

Address *

Email address *

Are you :

Single

Married

Widowed

Seperated

Divorced

Do you have a child or children?

Yes

No

Do you have pets?

Yes

No

Which programs are you interested in? *

Fearless Freedom Program (Global Citizens)

The LevelUp Beauty Tours (Global Healthcare/Dental/Costmetic Surgery)

Social Media Profiles

Tell me why you're interested in the program *

Tell me what your goals are for the next 90 days and 1 year *

Have you conducted any independent research? *

What is your current profession? What is your current income? Do you have more than one source of income?

Assuming that we're a good fit for each other, where do you stand in being able to invest in yourself today?

I'm ready today

I need to think about it

I'm not ready

On a scale of 1-10, how serious are you about making a decision? *

1 (I don't want to)

2

3

4

5

6

7

8

9

10 (very serious and dedicated)

Describe what your life looks like in the next 5 years. Where do you live? How much money are you making? Are you renting or buying a home?