MEMBERSHIP INQUIRY

Welcome! This Membership Inquiry is meant to help our coaches learn more about you before we embark on your health and wellness journey! Once your inquiry is submitted either Ren or Dante will reach out to you to continue the conversation of what you are looking for and how we can best support you with all of our tools and resources here at The Den.

If you come across any issues regarding this form, please do not hesitate to email us at thedensomatics@gmail.com.

First Name

Last Name

Phone

What is your Age?

How old do you feel?

What about our gym interests you?

Have you ever been apart of a team?

Have you ever had a coach?

Have you ever been asked to leave a community? If yes, please describe the situation to your comfort level.

What is your current relationship with movement and fitness?

Do you practice Meditaton?

Are you open to breathework, mindfulness, meditation, and other somatic/spiritual practices?

Have you sat with any Earth/Plant Medicines?

Have you followed a microdosing protocol?

How would you describe yourself?

What are qualities/values that you hope for in a wellness forward community?

HEALTH

What are your health and wellness goals?

How would you like The Den to support you in achieving these goals?

Have you been diagnosed with a disease or chronic illness that we should know about?

Have you had any surgeries?

Are you curretly on any medications?

Thank you for your inquiry! Please allow our coaches 24hrs to respond.