PLEASE ENTER YOUR INFORMATION BELOW AND WE WILL BE IN TOUCH SOON.

Full Name *

Email *

Phone *

Date of birth

How did you hear about us?

What's your Instagram handle?

Identify your main goals:

Identify your main frustrations:

How would you describe your follow-through history? If you don't have a good track record here, what has gotten in your way previously?

Do you have any health & wellness issues or concerns? (ie: gut/digestive dysfunction, hormonal dysfunction, metabolic dysfunction, decreased cognitive function, etc...) If so, please list them below.

Do you currently or have you ever had any mental health conditions/struggles, eating disorders, substance abuse or addiction issues? If yes, please describe below.

Is there anything else that you think we should know about your medical history or current health status? If so, please describe below.

Do you currently adhere to a CONSISTENT nutrition routine?

Yes

No

Are you willing to make changes to become the highest version of yourself? (Select one)

Yes

No

What are you seeking in a coach?

Are you the primary decision maker in your household?

Yes

No

What is your annual income? (Seect one)

under $100k

$100-250k/yr

$250-500k/yr

Are you currently willing to make a significant financial investment in yourself? (Select one)

Yes

No

By submitting this you acknowledge that you're ready to begin working with TPC Performance, LLC, if together, we determine it's a good fit on our call. I agree to terms & conditions provided by the company. *

Yes, I'm committed to investing in myself and I am ready to begin.

No, I'm not ready to invest in myself.

SERIOUS INQUIRIES ONLY

ONLY HIT SUBMIT IF YOU ARE TRULY COMMITTED TO INVESTING IN YOURSELF

Once you hit submit you will be taken to our calendar page, there you will setup a quick inquiry call where we will discuss your goals and see how we can help you achieve them.

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