Renew You Application - andythenewgirl.com

Hello, I am Andy Ptacek. What's your first and last name?(Required)

First Last

What's your email address?(Required)

What's your IG handle?

What's your phone number?(Required)

What is your biggest struggle in life at the moment?(Required)

What do you want out of this life for yourself (personally and/or professionally)?(Required)

What is currently holding you back from making the dreams you want in this life a reality?(Required)

Have you ever received support to guide you through the process of realizing your goals in life?(Required)

What type of support are you looking for now?(Required)

Are you ready to shift your perspective to heal and grow in bold new ways?(Required)

H-E-double hockey sticks YES!

No.

If accepted into the program, are you currently ready to invest in yourself – financially, mentally, emotionally, and spiritually?(Required)

I'm so ready!

I'm not ready.

Are you able to meet face-to-face weekly over Zoom in a quiet place where you will not be distracted?

I can make that happen.

That is not possible.

If you are a great fit, would you be ready to make your initial investment of $425 to join the The Renew You Program?

*Total investment for this 12-week experience is $1195. Payment options available.

Renew You Program Application