Are you a godly man looking for more help to relight the fire in your life? Fill out the questionnaire to see how we can help (15 min).

My Name Is Champion is a movement for men who are hungry to take action. This is Step 1.

Full Name *

Email *

Phone *

Date of birth *

Occupation *

Relationship Status *

Do you have children? If so, how many and what ages? *

Personal Faith/Religion (since this makes a huge impact on life outlook, it helps to know) *

What specific goals or aspirations are you currently working towards in your personal or professional life? *

Are there any specific areas of your life where you feel stuck or uncertain about how to proceed? *

What challenges or obstacles are you facing that you believe are hindering your progress? *

How do you define success in the areas you’re seeking to improve? *

At this point in your life what do you feel your purpose is? What are you ultimately wanting to accomplish with your life? *

What does your dream life look like? *

What values or principles guide your decision-making and actions? *

Walk me through your current daily routine. What does your average day look like? *

At MNIC, we believe men should be pursuing growth in faith, mind, body, marriage, fatherhood, business or career, and community. What areas could use improvement in your routine? *

What motivates you to take action and persist in the face of setbacks or obstacles? *

How do you handle moments of doubt or uncertainty, particularly when it comes to pursuing your goals or living in alignment with your values? *

What self-limiting beliefs or negative thought patterns do you struggle with, and how do they affect your confidence and decision-making? *

Are there any past traumas or experiences that still influence your thoughts, emotions, or behaviors today? *

What support systems or resources do you currently have in place to help you achieve your goals? *

Regarding business and finances: Please select all that apply. *

I own a thriving business and don't need help.

I own a brick & mortar business and need help.

I own an online coaching business and need help.

I'd like to start an online coaching business.

I have a job and am not interested in starting a business.

Thanks for your interest! Since 1:1 coaching is not a good fit right now, please go ahead and explore the My Name Is Champion Elite community. Inside, you'll find the ultimate brotherhood for godly men and over $40k in resources. Learn more here.

If accepted, do you have the funds and eagerness to get started right now? *

(OPTIONAL) Lastly, please create a loom video sharing any other details and why you're a good fit for our programs.