Content:  anti-aging and coaching, aging, REGISTRATION, anti-aging clinic, live longer, anti-aging, grow younger, neuropsychology,anti-aging clinic





Established 1994








Invitational Program
in Longevity


- Register for your Invitation today!
Application Form below page






>>  Application Steps:
Step 1
. Submission of your application to the our Selection Panel for approval.
Step 2. If offered a place course payment is required by bank wire or internet banking.


    ** Firstly, how did you hear about the Clinic?   
      Referral  Google Search  Google Ad  Dr Zeus's Books
1.  Yes! Please accept my below application for a limited place in the next available 1-to-1
         Self Transformational Program..

             I am looking to use the customized Self-Transformational Program for:
              - Health Reasons
                  - Life Extension
/ Age Reversal
- Overall Wellness 
                  - Performance
                 Program Goals
 *** Consultation, treatment regimen design and practice session with Dr Zeus:
Option 1. Videoconference  -or-  Option 2. In Person with Dr Zeus.
        Option 1.  1:1 Videoconference / Telephone with Dr Zeus:
|     .   > Select below Program Rate and optional Post Mentor Support with Dr Zeus:

                   - Corporate Rate: $us2,895.00 -sponsored by Organization for Senior Manager / Leader /
Director / Owner.
- Optional Pre-Program introductory telephone interview / call with Dr Zeus.    -Yes Please!
- Standard, Personal Rate: $us2,495.00.
                - I require a Special Financial Assistance Rate:
                             - If you have not already received an 'Offer of Financial Assistance' from us please
                               submit a 'Financial Need' Statement (on below Form).

                   Optional:  Plus Post Mentoring (not normally required)
1-to-1 Telephone or Videoconference Support.
# of Sessions: 1. 2. 3. 4. ($us285 per session)


         Option 2.  In Person with Dr Zeus. (Wait List -currently 4-5 week Wait) .
 - Australian VIP Rainforest Retreat   
     Yes, I wish to have: a) my name put on the Wait List and, b) have Dr Zeus call me to discuss my needs and the 1-to-1, Two Day, private session with him.  
      Exclusive Limited Time Offer  
I will be travelling with my partner and would also like them to have some sessional time with Dr Zeus (at no extra cost) as part of my Day's Program!


     Peaceful, Zen Retreat (set in a beautiful rainforest beside bubbling creek) on the Gold Coast,
            Australia  -$us4,450.  (Mutually suitable date) 


     - Location: World famous Springbrook Rainforest, Queensland, Australia
Recommendations can be provided for any required accommodation.
20 mins away from Coolangatta airport, 50 mins from Brisbane airport, Queensland
Be picked up by Limo and driven to and from Retreat.
Wait List Update. Currently 4-5 weeks. Strictly limited number of booking dates available.
   - Required initial telephone interview with Dr Zeus.
  - Preferred Program dates  (Month and day/s) :  
    Bangkok, Thailand  $us3,850   (Mutually suitable date. Any required accommodation not included)  
  - Preferred Program dates  (Month and day/s) :

. Personal Details


Full Name:


Business Name:


Address & Zip:


State & Country:


Tel. #'s:

Home/Mobile:   Biz:


Email :

Biz: Personal:

Website :
Facebook Name:

Profession /  Position :

  On a scale of 1 to 10 how would you rate yourself on being extroverted, agreeable and open to try new things / experiences?  
   1.  2.  3.  4.  5.  6.    7.  8.  9.  10.
On a scale of 1 to 10 how would you rate yourself on being optimistic?
   1.  2.  3.  4.  5.  6.    7.  8.  9.  10.
Rate yourself on a scale of 1 to 10 whether you enjoy being challenged and changing yourself.
  1.  2.  3.  4.  5.  6.    7.  8.  9.  10.


Your Professional / Educational Background / 'People Development Experience':




 The Philosophy that guides your life:



Have you undertaken any previous life extension or wellness programs?


Medical, therapy or personal history we should be aware of:



Any Referral Names etc to support your application:







Registered as an Education provider from the State Board of Behavioral Sciences, California.
Founding Board Member of International Coaching Council

2019 Behavioral Coaching Institute.