WELCOME This isn’t a Show about Hype or Hustle- It’s about Disruption, Rewiring, Overcoming Obstacles, Raw Intention, and Real Stories about the Reality Elite Performance. No Fluff. Name * First Name Last Name Email * Phone * (###) ### #### Website/LinkedIn Title/Profession What are 3 topics you would love to discuss.? * Which Most Applies to you * select all that apply I have overcome the odds My life's path taught me resilience & mental strength I am a performance coach I lead a team I am a mental performance expert I help teams/people become unbeatable Other When would you like to record? * Right Away Week or Two A month from now Unsure I'm flexible What is one setback, habit, or patterned have you interrupted or overcome on your journey? * Is there anything you want to Rewire or Interrupt Live on the show? * Do you have a specific story, turning point, or moment that shaped your path? * Have you spoken no a stage or podcast before? If so drop the link below. Is there anything else we should know before booking? How did you hear about us? * Social Media Word of Mouth You Reached Out Other Thank you! I will be in touch !