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EXECUTIVE ASSESSMENT

Your Strategic Health & Performance Evaluation

​​TIME INVESTMENT: 8-10 MINUTES


Complete responses help Erik create your personalized transformation strategy. The more detail you provide, the better he can tailor his recommendations to your specific executive challenges and goals.

CONTACT INFORMATION

Birthday
Month
Day
Year

EXECUTIVE PROFILE

Team Size under your Leadership
Average Weekly Work Hours
40-50
50-60
60-70
70+
Travel Days Per Month
0-3
4-8
9-15
15+

CURRENT HEALTH & FITNESS STATUS

Current Exercise Frequency
Current Health Challenges (Select all that apply)

FITNESS HISTORY & EXPERIENCE

Have You Ever Stayed in Shape for a Full Year?
Yes, I've maintained fitness for 12+ months
No, I typically start and stop
Not sure / It varies

EXECUTIVE LIFESTYLE FACTORS

Business Dinners/Entertainment Per Week
Alcohol Consumption
Average Hours of Sleep Per Night
Primary Barriers to Fitness (Select all that apply)

GOALS & TRANSFORMATION VISION

How Much Time Can You Realistically Commit Per Week?
Top 3 Priority Areas (Select 3)

PROGRAM INTERESTS AND READINESS

Which Program Are You Most Interested In?
1-on-1 Executive Training (Premium venues/in-home)
Executive Edge Online (16-week transformation program)
Interested in learning about both options
When Would You Like to Start?
Have You Previously Invested €1,000+ in Personal Development?
Yes, I've made significant investments in myself
No, this would be my first major investment
I'm considering it for the right opportunity


⚡ URGENT PRIORITY QUESTION


EXECUTIVE QUALIFICATION

How Did You Hear About DOMINATE16?


🚀 SCHEDULE YOUR STRATEGY CALL

Erik personally reviews every assessment within 48 hours (Monday to Friday). If you're a good fit for the program, you'll receive an invitation to schedule a complimentary 40-minute strategy call to discuss your transformation.

Your information is completely confidential and will never be shared. By submitting this assessment, you agree to our Privacy Policy and Terms of Service.

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