Hi there. Thanks for your interest in coaching with The Social Man. We want to match your coaching to your life and goals, so please take a moment to complete this information. All fields are required, and the more descriptive and accurate you can be, the better it will help us to serve you! Thanks :)
- Christian et. al.

Your First Name

Last Name

Your Email

Your Age

Your Phone Number

Best Times to Reach You? (1 evening, 1 daytime)

What is Your Profession?

Your Primary City of Residence

Your Country

How many fun dates have you been on in the last 3 months?

Have you taken any other course, bootcamp, or seminar in the field of self-improvement / pickup / relationships / life coaching? If so, when was it and what was you biggest take away (and/or biggest disappointment)?

In the context of dating and relationships what do you believe is your BIGGEST sticking point that is keeping you from getting what you want?

What are the 3 most important things would you like to accomplish during a TSM Coaching Program and why?

If you knew you were going to get the results you want, how much would you be willing to invest in your personal training?

When Would You Want To Start?

I want to get this handled in the next month or two

I'm looking three to six months out

I'm curious but not sure about timing