Group Consulting Circle Application

Group Consulting Circle Application

Please provide your information and answer the following questions to help us confirm this round of group consulting is a good fit for you!
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date (Must be over 18 to join a group)
Your Gender
How many sessions will you be able to attend live? (Tuesday 6:30-8PM CST. March 10th, 17th, 24th, & 31st)*

I can attend ALL 4 sessions.I will miss 1 session, but all the others I can be there live.I will miss at least 2 sessions and would plan to watch the replay for those I will miss.I would NOT attend live, only would watch group replays.I do not know.
How comfortable are you with being present with your own emotions in a group setting?*

1

2

3

4

5

1 is UNcomfortable, 5 is Comfortable
What helps you feel safe when sharing vulnerably with others?*
How would you describe the current emotional season you’re in?*
What are you hoping to receive or experience through participating?*
Anything else you would like us to know or questions you still have?
Please read over Butterfly Effect Consulting's terms and conditions here: https://butterflyeffectconsulting.com/bec-consulting-terms*

I have read and agree to these terms and conditions.
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