First Name
*
Last Name
*
Are You A Man?
*
Yes
No
What Is Your Age?
*
What Is Your Relationship Status?
*
Single
Married
Long Term Relationship
Divorced
Do You Have Children?
*
Yes
No
Do You Have A Faith You Follow?
*
Yes
No
Do You Own A Business?
*
Yes
No
How Long Have You Been In Business?
*
What Industry Are You In?
*
Do you have employees? If so, how many?
*
Anticipated Business Revenue in 2021?
*
$0 - $99k
$100k - $249k
$250k - $499k
$500k - $999k
$1M - $2M
$2M - $5M
$5M+
Are You Reaching Your Income Goals? If not, Why Do You Think You Aren't?
*
How would you rate your marriage? (Passion, Intimacy, Connection)
*
1
2
3
4
5
6
7
8
9
10
How would you rate your connection with your spirituality?
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1
2
3
4
5
6
7
8
9
10
How would you rate your fitness?
*
1
2
3
4
5
6
7
8
9
10
Describe why you DESIRE to be selected to join FORGE LEGEND:
*
Best Phone Number To Reach You At
*
Best Email To Reach You At
*
How Did You Learn About Us?
*
If Forge Legend really is what we say it is and it helps you scale your business, increase your income, improve your health, and improve your connection with your wife, kids and spirituality, are you financially able to invest $10,000 in yourself for this event?
Yes
No
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