Application Funnel

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What is the main reason for your interest in the Primal Man Project?* This field is required.Please select one option that applies to you most
I'm looking for a new direction in my career
I'm looking to eliminate negative habits and growth barriers
I'm looking for access to a likeminded tribe of high performing men
Finding or redefining my purpose and direction
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How satisfied are you with your life right now?* This field is required.Slide the emoji to reflect how fulfilled you feel overall and hit 'Next' to continue
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Let's get real, what is happening in your life right now that has you considering this?* This field is required.Be as specific as possible so we can get the most out of our session together.
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How soon would you like that to change?* This field is required.Is this something you want to do NOW or LATER kind of thing?
6 months +
In 3 to 6 Months
Right NOW
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6 months +
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In 3 to 6 Months
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Right NOW
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What do you do for work right now?* This field is required.Include your full time job, part time job, business, side hustles etc
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What is your current income?* This field is required.
Under $75k per year
$75k to $100k per year
$100k to $150k per year
Over $150k per year
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Are you willing to travel to Brisbane to attend in person events?* This field is required.Our 3 Day retreat is hosted 1.5hrs outside of Brisbane
YESNO
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If you found exactly what you were looking for in a coaching program, how much would you be willing to invest in yourself?
Less than $3,000
Between $3,000 to $10,000
More than $10,000
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Are you currently experiencing or have you been diagnosed with a significant mental health condition, severe depression, anxiety or suicidal ideation?* This field is required.
YESNO
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What is your First Name?* This field is required.
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What is your Last Name?* This field is required.
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What's your best contact number?* This field is required.Important: We have our headquarters in Australia but aren't limited to any part of the world. In order for us to contact you properly without hiccups, you'll need to make sure you can use the right Country Code for the region you live.For example:If you live in Australia, +61 is your Country CodeIf you live in New Zealand, +64 is your Country Code
Country Code
Phone Number
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Email
example@example.com
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If you qualify, you’ll be able to book in a personal time to speak with our team about creating a plan toward the goals you’ve laid out here.

Making these sessions available requires preparation, planning and time on our end. We’re trying to make sure we’re using this time properly to connect with and help as many men as possible.

If offered a chance to book a session, will you commit to make the most out of this and attend your session on time and distraction-free?

Type in ‘YES I CAN’ on the line below and hit SUBMIT to complete your application.

Type in your response
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