Welcome!

Before we jump in, I want to get to know YOU — your goals, your body, and what’s been getting in the way. This isn’t a sales page; it’s a self-assessment to help us both see if working with TMD is the right fit, and how we can customize support for you.

Be honest, be thoughtful, and remember: this is about readiness, not perfection.

Your Current Reality:

1. Where are you currently winning when it comes to your health and taking care of your body? What habits, routines, or practices are working for you right now? (Be specific — this helps me understand what you’re navigating.) *

2. Where do you feel most challenged or inconsistent? What feels hard to sustain? What keeps slipping or hasn’t worked long-term? *

3. What feels missing for you right now? Structure? Support? Clarity? Accountability? Confidence? A system you can trust? *

4. What are your top 3 health goals right now? Physical, hormonal, energy, body composition, lifestyle — all count. *

5. How long have you felt stuck or struggled to see results? *

6. How would you describe your current energy, sleep, and stress levels? *

7. What have you already tried to solve this? Diets, workouts, supplements, medications, programs, coaching — what worked, what didn’t, and why do you think it hasn’t fully stuck? (We’re looking for patterns, not judging effort.) *

Support, Readiness & Fit

8. Who is currently supporting you in your health, fitness, or personal growth — and where are you mostly doing this alone? *

9. If nothing changes this year, how do you honestly think you’ll feel a year from now — physically, emotionally, and mentally? *

10. What would it mean to finally feel strong, confident, and at home in your body — not temporarily, but consistently? *

11. Why do you feel NOW is the right time to do this differently? What’s shifted for you? *

12. On a scale of 1–10, how committed are you to doing this the right way — not a quick fix, but real change? *

13. Are you willing to be coached, supported, and held accountable — even when motivation dips or life gets busy? *

Medical + Peptide Readiness

14. Have you ever used injectable peptides or medications like GLP-1s (Semaglutide, Tirzepatide, Retatrutide)? Are you currently using them? *

15. Are you open to peptide support if it aligns with your goals and is used responsibly? *

16. What concerns (if any) do you have about using peptides, injectables, or trying something new? *

17. Are you currently on any medications or supplements? Please list all. *

Investment & Commitment

How much have you invested over the years in your health, fitness, nutrition, personal development, or wellness? (Books, programs, gyms, supplements, courses, coaching, therapy, retreats, mentors — everything counts.) *

$200-$500

$500-$1000

$1000-$2000

Over $2500

19. What is your level of readiness to make a real change? *

I’m all in — I’m done feeling stuck

I’m nervous but ready

I’ve wanted this for a long time

I’m unsure but open

20. Working with TMD is an investment in your body, hormones, energy, and future. If accepted, which option best reflects where you are right now? *

I’m ready to invest into a monthly program rate

I’d prefer to pay for months in advance

I need to discuss options, but I’m committed to finding a way

21. How much are you realistically willing to invest in your health and your goals? *

$100-$200

$500-$1000

$2000-$5000

Whatever it takes!

22. Do you currently have the financial resources to invest in yourself if accepted?

Yes, I’m prepared

Yes, with a payment plan

Not right now, but I want this in the future

I’m unsure

Your honesty helps ensure this is the right fit.

23. Is there anything else you want me to know about you, your body, or your journey that feels important to share? *

This isn’t about perfection — it’s about readiness. If you’re done repeating the same cycle and ready for structure, support, and a teammate committed to helping you win, working with TMD may be your next step.

First Name

Last Name

Phone *

Email *

Once you have submitted this application, the TMD Team will take a look and contact you within the next 24-48 hours. Thank You for being honest and wanting to invest in you!

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