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Can we help you discover the power of your heart?
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1
Why are you considering Heart Rhythm Meditation?
Select all that apply.
Stress relief & relaxation
Physical wellness & heart health
Emotional healing & support
Spiritual growth
Interest in Hazrat Inayat Khan
Other
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2
Have you tried any wellness practices before?
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Meditation
Yoga
Breathwork
Energy healing
Sound therapy
No, I’m new to this
Other
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3
What is your biggest wellness goal right now?
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4
How would you like to explore Heart Rhythm Meditation?
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One-on-one sessions
Group classes/workshops
Online intensive courses
Mobile app guided meditations
In-person events/retreats
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5
Your heart matters to us—we’ll share offerings that feel right for you based on your previous responses.
Email*
First Name*
Last Name*
Phone Number (Optional)
Yes
Yes
No
Yes
Yes
Yes
No
Would you like to receive iamHeart updates and Heart Rhythm Meditation news?
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6
How did you hear about us?
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Social media
Friend/word of mouth
Google search
Event/workshop
Other
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Social media
Friend/word of mouth
Google search
Event/workshop
Other
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