First Name *

Last Name *

Phone *

Email *

Where are you located? *

What do you do for work? *

Describe what you do and your current role in more detail. *

What is your current annual income or revenue? *

What’s going well in your life and career right now? *

What’s not working — or what’s missing? *

What area of your life or career do you most want coaching on right now? *

Where do you want to be in 12 months? Be specific. *

What’s the biggest obstacle standing between you and that outcome right now? *

Have you invested in coaching, masterminds, or personal development before? *

Yes — and it worked

Yes — and it didn’t deliver what I expected

No — this would be my first time

If accepted, are you prepared to make a serious investment in yourself to get these results? *

Yes — I understand high-level coaching requires a real commitment

I need to understand the investment before I can answer that

No — I’m not in a position to invest right now

How did you hear about The Tactical Empire? *

Anything else you want Jeff and Shawn to know before your call? *

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