Coffee Chat w Teresa

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Tell me about yourself in a sentence: Who are you? :)* This field is required.
5
Why are you interested in a Conversation Piece?* This field is required.
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Large
Normal
Small
Ok
Ok
6
Are there parts of you that feel resistance? Describe what they feel. How do you feel towards these parts?* This field is required.
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Large
Normal
Small
Ok
Ok
7
Are you willing to share your Conversation Piece either: A) in a photo reveal for the collective community (strangers) or B) in a private reveal party (for your friends)?You get to choose whichever option you feel most comfortable with :)
YESNO
8
Are you familiar with the investment required to commission a Conversation Piece?* This field is required.Hint: It's on the Conversation Piece website that you just came from!
YESNO
9
There are a few coffee date opportunities coming up! Please RSVP for the date that works best for you:* This field is required.Which coffee date would you like to attend?
Saturday, March 2 at 2 PM
Saturday, April 6 at 2 PM
Saturday, May 4 at 2 PM
Saturday, June 1 at 2 PM
None of these dates work
10
Do you have any questions for Teresa?
Should be Empty: