Application for NDY Life

First Name *

Last Name *

Instagram Handle *

Phone *

Email *

What are the habits you want to change? (choose the best fit) *

I've followed the opinions of others for too long, and need to take control of my own life

I have no community behind me or support for change.

I work hard, but don't feel like I have any purpose behind it.

I am at a point in my life where I have looked up and realized I'm not happy or where I want to be.

Are you tired of feeling like you’re stuck and not making progress? *

Yes, I'm ready for change.

No, I like my soft life and constant anxiety.

How is your limiting mindset getting in your way of progress? *

What changes for you when we alter these habits and your mindset in the next 90 days? *

Are you ready to take Total Accountability for your future and start creating the life you really want? *

Yes, I'm ready to take action.

No, I am scared I don't have what it takes.

Are you finally ready to create discipline and make progress towards your goals? *

Yes, I need this.

No, I'll keep pretending I'm not the problem.

On a scale of 1 to 10 how ready are you to commit tocreate the life you want?