Be Better Academy

Please complete the following with honesty and candor. Within 3 business days you'll be contacted for a personal consult with Phil Kaplan to determine whether the program is right for you.

First Name: *

Last: *

email: *

Phone (include area code): *

Describe in 2-3 sentences what you do for a living: *

What about the fitness industry or the personal training field most frustrates or upsets you?: *

Looking at your universe now, and considering your true wants, what are the specifics you'd most like to achieve or accomplish?: *

What do you most believe has prevented you from achieving those wants thus far?: *

While the industry is driven by passion and a desire to help others, what can you identify that might be a unique gift or trait?: *

Is $325 per month affordable for you and are you willing to give this program 100% commitment?: *

Yes

Not Sure

If you answered "No" or "Not Sure" to the above question, are you in a position to simply afford $100 per month to put the program to the test?:

Yes

What primary questions (not more than 2) come to mind that you might want answered in our telephone consult?: *

Knowing that there's give and take in the program, what unique experiences do you bring that might benefit others in the group?: *