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 Thursdays, 5:30 - 7:00pm ET work for you?Subsequent meeting dates, every Thursday at 5:30-7:30pm ET starting February 20th, 2025

Yes

No

9

Choose your payment planEarly bird rate of $555 is available until January 4th 2025

Single Payment: $600

2-Month Payment: $300 monthly

3-Month Payment: $200 monthly