Action Adventures Application

1
Which of the Following Best Describes You?* This field is required.
Happy, stress free and ready for the next level of freedom
Feeling stuck, stressed and like a slave to the system
In transition and need some direction to rebuild my life
2
Welcome to Action Adventures! What's Your Name?* This field is required.
Enter Your Full Name Here
3
How did you hear about us?* This field is required.
If someone referred you, please list their name here.
4
What's currently working well in your life?* This field is required.
Friends & Family
Purpose & Profession
Physical Health
Income & Finances
Mindset & Mental Health
Love & Relationships
Facing Fear & Failure
All of the Above
Other
5
What's currently holding you back?* This field is required.
Friends & Family
Purpose & Profession
Physical Health
Income & Finances
Mindset & Mental Health
Love & Relationships
Facing Fear & Failure
All of the Above
Other
6
How clear are you on who you are and why you're here?* This field is required.
1= I have no idea who I am or why I am here
2= Struggling here but I have hope
3 = I'm exploring and think I'm on to something
4 = I can see the light at the end of the tunnel
5 = I am absoultely clear on who I am and my purpose on this planet
7
How close are you to your dream life?* This field is required.
1= No idea what I want
2= Have some ideas but don't know where to start
3= Working now to get clear on the life I want to live
4 = I am well on my way to my dream life
5 = I am living my dream life already and want to help others do the same
8
How well supported are you by your closest friends and family?* This field is required.
1= I am all alone and trust nobody
2 = Nobody I know supports what I want
3 = Only a couple people in my community know about and support my dreams
4 = I've got a few close friends and family cheering me on
5= I've got a huge network of support
9
How important is it for you to give back to the world or contribute to something larger than yourself?* This field is required.
1= I'm looking out for myself for now
2 = Scraping by and i'm in no place to help others
3 = I want to give back but don't know how
4 = Trying everyday to find my place, passion and purpose
5= My life's mission is to make the world a better place
10
How much are you willing to invest in yourself for this trip of a lifetime?* This field is required.
$0 = Not committed. I see no value in investing in myself and will continue to struggle alone. I am not a good fit for this trip.
$2,000-3,000 = Times are tight but this trip is important to me. I will scrape by to make it happen. I am willing to sacrifice some comforts so I can join.
$3,000-5,000 = I am completely ready to invest in myself. I know this trip will be worth it and I am willing to pay extra so I can make the most of this experience.
Priceless = I'll do whatever it takes to make this happen. I need this trip more than anything and I'll invest my time, money & resources. Nothing is more important.
11
What details of the trip are most important to you?* This field is required.
Adventure Travel - Hikes and adventures in the mountains surrounding Medellin
Cultural Immersion - Experiencing the people, food and culture of Colombia
Plant and Ancestral Medicine - Expanding consciousness through the use of Indigenous Medicine
Community - A tribe of people on a mission to support the awakening of your best self
Comfort - Top notch accommodations and food
All Inclusive - Everything included under 1 price
Integration - Ongoing support after the trip to help you apply what you learned once you've returned
Other
12
Why would you be a good fit for this trip? With spots limited, why would we choose you?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
If selected on this trip, what are you hoping to get out of it? What would make it a success for you?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
14
Which of the following is true for you?* This field is required.
I prefer the trip to Colombia from January 15th-23rd, 2022
I prefer the trip to Colombia from March 26th-April 3rd, 2022
Doesn't matter when it is, I am 100% there!
These options don't work but I'm interested in future travel dates.
I am no longer interested. Thanks anyway!
15
Is your passport valid for at least 6 months after the last day of the retreat you are applying for?* This field is required.
Yes
No
16
What email should we use to contact you?* This field is required.
example@example.com
17
Anyone else you know would be a good fit for the trip?* This field is required.You get $250 off the retreat for each person you refer who signs up.
Add Name and email
18
Lastly, share a link to your best social media profile.* This field is required.
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