Reclaiming My Voice And Roots Retreat Discovery Questionnaire

1

First off, what's your email address?* This field is required.

example@example.com

2

Great, and what's your name?* This field is required.

First Name

Last Name

3

What are your preferred pronouns?* This field is required.

4

Share a bit about yourself. * This field is required.

5

What motivates you to join the retreat?* This field is required.

6

Do you identify as BIPOC?* This field is required.

Yes

No

7

What feels important for you to share about your journey and needs?* This field is required.