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We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
Name
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First
Last
Email
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Phone
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Website
what are you contacting us about?
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general questions
web design
graphic design
photography
audio services
video services
uninsured handy man services
pool cleaning
unlicensed psychotherapy
life coaching
Do you currently have a website?
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Yes
No
If different than above, What is the sites URL?
who is to blame for the brokenness?
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i did it.
my kids did it.
it is a mystery.
how may we be of service to you?
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Please describe the brokenness.
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additional cost add-ons
european speedo modeling
sun tan lotion application (male)
sun tan lotion application (female)
european speedo modeling
Price:
$5,000.00
male lotion
Price:
$25,000.00
female lotion
Price:
$0.00
additional services total
$0.00
tell us more about your pool. How big? How dirty? Etc...
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Which of the following is more true?
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I am making the world crazier.
The world is making me crazier.
Are you in advertising?
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Yes
No
try to explain yourself with as little spin as possible
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Are You In Politics?
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I plead the 5th
No
Would you consider yourself:
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Definitely Corrupt or Open to the idea of being corrupt
100% pure and awesome
Do you think we'd actually help you?
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Yes
Every man has his price
please enter dollar amount for consideration.
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please describe the brokenness
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lie to us some more, please describe the brokenness
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please tell us how your brokenness occurred so we may protect our children from similar life choices
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what percentage of our soul do you feel this amount is worth?
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Good On You Superhero. Now how can we help you?
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On average, how much TV do you watch per day?
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1 hour
3 hours
5 hours
All freaking day
I only watch Dr. Oz
I watch anything that has CSI or NCIS in the title.
Please justify this decision to us and yourself.
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Please, please explain why on earth you do this.
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good for you, please describe your brokenness
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managable, please describe your brokenness
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some brain damage has started. please describe your brokenness
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please describe the part of your day still left to be broken
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Check all that apply:
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I need some fresh ideas about my future
I have trouble with motivation
I sing "Take this job and shove it" way too much
my work makes me fat
c'mon champ tell us why you aren't playing in the big game
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prove to us further you can read and respond to gibberish