PREBOOK HERE 2ND Prime Built™ | Men’s Longevity Retreat

Please answer honestly. This helps us ensure a safe, aligned, and high-impact experience.

Name

Age

Current Energy Level:

Low Moderate High

Are you managing any chronic health conditions?

No Yes

Are you currently under a physician’s care or taking prescription medications?

No Yes

Are you physically able to participate in light-to-moderate daily activities?

No Yes Unsure

How consistent are your current health habits (sleep, nutrition, movement)?

Not consistent Somewhat consistent Very consistent

What motivated you to apply for this retreat?

Are you willing to unplug from work, alcohol, and digital distractions during the retreat?

Yes Mostly No

What are your top 1–2 health or performance goals for the next 12 months?

Are you prepared to commit to post-retreat habits and accountability?

Yes Maybe No

How open are you to learning and applying new science-backed health practices?

Not very open Somewhat open Very open

Additional Notes

I understand this retreat is an immersive health experience and not a medical program. I agree to take responsibility for my participation and communicate any health concerns prior to attendance.

By registering for the retreat, participants acknowledge that they have read, understood, and agreed to the Cancellation & Refund Policy.

PREBOOK HERE

Applicant Qualification Process

What Happens Next