Breakthrough Application Form

When you find a solution that you feel will work for you, then you want to act on it:

Immediately or on the same day as the call, because I'm ready to and committed to growing beyond this problem no matter what it takes. I'm emotionally, mentally, and financially committed.

Within a week of discovering a solution, because I'm not quite ready to pull the trigger, but I'm close.

Within a month or two, as this isn't a critical priority for me.

I'm not even certain I want to live pornfree, honestly.

TRUE or FALSE: I identify as being hooked on porn, masturbation, and/or sex and I am booking this call in the hope of overcoming it.

True

False

Consider that average behavioral addiction recovery programs can be $8K-$20K USD (not that we charge that much). How much would you be willing to invest to overcome this addiction through programs you can work from your own home? I can make recommendations at any financial level, but of course the most comprehensive help comes at a higher price.

$0-200 (just can't invest in myself)

$400-1000 (not very committed or experiencing financial hardship)

$1500-4,000

$5,000-8,000

$10,000+

Tell me about yourself.

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