Application for the Disciplined Mind Protocol
Thank you for your interest in this program. We are so excited to have you join us to start living a life by DESIGN and not by DEFAULT. To get to know you a little better we ask that you answer the following questions and we will get back to you with more details about the program.
Full Name:
Best Email Address:
Contact Number That You Can Receive Text Messages On
Are you a veteran?
YES
NO
Way to Go! You're Doing Great! Just a Few More Questions:
You're Doing Great! 
Just a Few More Questions:
To serve you as best we can, what do you see as your biggest challenge in life right now?
What is your biggest frustration as a veteran?
If anything, what fear wakes you up in the middle of the night? (eg. not enough time, too many bills, what am I doing with my life?)
What do you hope to get out of this course?
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