Dr Dan Maggs

Private Coaching Application

This form takes less than 2 minutes to complete.

I personally review every application and will respond within 24 hours.

ℹ️

I confirm I am male and understand this is a men-only coaching programme

Personal Information

First Name *

Last Name *

Email *

Phone Number *

Enter without leading zero

What would success look like for you? (tick all that apply) *

Finally losing this weight

Having more energy throughout the day

Protecting my health for the future

Being active and enjoying my retirement

Keeping up with my kids/grandkids

Looking and feeling like myself again

When are you looking to start? *

Immediately - I need to fix this now

Within the next 2 weeks

Within the next month

Just researching options

This programme requires an investment of £600/month (3-month minimum). Are you ready and able to invest in your transformation? *

Yes, I'm ready to invest

I need to check my finances

No, this is outside my budget

*You'll receive a response within 24 hours