WHO YOU ARE

Full Name *

Age *

Location

Current Business/Title *

Years in Business *

LinkedIn Profile or Website URL

How did you hear about The Ascent? *

WHY YOU’RE HERE

Rate your current satisfaction in these areas:

Leadership effectiveness *

BadGood

Mindset & mental clarity *

BadGood

Life systems & operational flow *

BadGood

What are you most proud of as a man right now? *

What’s the ONE thing you know is holding you back, and you’re tired of tolerating? *

Why do you believe you’re ready for this level of immersion? *

COMMITMENT & READINESS

Are you physically capable of engaging in moderate to intense physical activity for 4 days? *

Yes

No

Unsure

Are you willing to be challenged emotionally, mentally, and spiritually during this retreat? *

Yes

No

If accepted, can you commit to the $2,500 investment and travel required to attend February 18-21, 2025? *

Yes

No

Need to discuss

What do you want to walk away with by the end of The Ascent? *