Clone of Communities of Color IFS Healing Circle 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

Do you identify as the global majority

Yes

No

4

What motivates you to join this offering?* This field is required.

5

What feels important for you to share about yourself?* This field is required.

6

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

7

What are you hoping to get out of this offering?* This field is required.

8

Do Mondays, 1:00 - 2:30pm ET work for you?* This field is required.Subsequent meeting dates, every Mondays at 1:00-2:30pm ET starting June 8th, 2026

Yes

No

9

You Investment$50 for the full 4-week healing circle. Payment is required to secure your spot. Due to the limited and intimate nature of this group, all payments are non-refundable once the group begins.

Agree

Do not agree