Primal Man Project & Women of the Woods Pre-Qualification Application
Applicant Name
First Name
Last Name
What is your age?
18-30
Type option 2
Type option 3
Type option 4
What is your sex?
Male
Female
Other
Phone Number
Email Address
Which class or event are you interested in attending?
The Primal Man Project
Women of the Woods
What are you most craving for your life right now? (choose which one feels best for you)
Real connection with like minded people
A physical and mental reset
Learning survival skill in a hands-on way
What would it feel like to wake up in the forest knowing you earned your place there? (choose which one feels best for you) **Rhetorical: PMP and WOW do not presently hold over night events)
Like peace and power
Like I finally broke through
I don’t know—and I don't want to find out
That sounds uncomfortable and not for me
I'd feel like a badass
If you could walk away from this experience with something, what would it be? (choose which one feels best for you)
Confidence I can't fake
Brotherhood/sisterhood
New life skills I can pass on
A reset I didn’t know I needed
Do you believe in personal responsibility and the value of challenge?
Strongly agree
Neutral
Disagree
Choose the benefit that you you’d hope to get out of this event? (choose which one feels best for you)
Less Stress
More Happiness
Less Depression
More Drive
Finding Purpose
Less Boredom
Get Re-ignited
Make friends
Be outside in the forest
Real Confidence from knowing "I can do X now."
Can you comfortably jog or hike at least 1 mile?
Yes
No
Maybe/not sure
How often do you exercise per week?
Never
1-2 times
3-5 times
5 or more times
Calculation
Type a question
Date
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Month
-
Day
Year
Date
Client Signature
Submit
Submit
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