Latinx/e 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 Latinx/e?

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

Choose your payment plan* This field is required.Early bird rates available until July 15, 2026

Single Payment: $444 ($555 after July 15, 2026)

2-Month Payment: $300 monthly (available until July 15, 2026)

9

Do Thursdays, 12:00 - 1:30pm ET work for you?* This field is required.Subsequent meeting dates, every Thursdays at 12:00-1:30pm ET starting August 27, 2026

Yes

No