First Name *

Last Name *

Email *

Phone *

Location (City & State) *

Country *

Age *

Current work situation/occupation? *

Relationship Status *

In a few words, what are your biggest current goals in each area of your life?

Self Confidence & Overall Happiness *

Career & Finances *

Romantic Relationships & Dating *

Sex Life & Intimacy *

Friendships & Chosen Family *

What are the 2-3 biggest obstacles or challenges that are standing in the way of you achieving your goals in these areas? *

What have you tried in the past to overcome these obstacles (coaching, books, therapy, etc)? *

If these challenges were solved, what would your ideal life look like a year from now?

In 2-3 paragraphs, describe what your dream life would look like: *

How important is it for you to solve the problems and obstacles mentioned above? *

Not Important at all

Somewhat Important

Very Important

Gay Man Thriving is for men who are ready to invest in themselves to create rapid change in their lives. Why is now the right time for you to create a change in your life? *

What drew you to Gay Man Thriving? *

The investment for our programs and coaching starts at $1,000. If you decide that you'd like to explore working with us, are you prepared to invest at this level? *

I don't have the resources to invest in myself right now.

I'm open to finding the resources to invest in myself.

I have the resources to invest and am ready to improve my love life and build more meaningful connections.

Zach or Andrew will join you on zoom at the appointed time for your call. Do you commit to being on time for your session?- *

Yes