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 planEarly bird rate of $444 is available until January 1st, 2026

Single Payment: $444 ($555 after January 1st, 2026)

2-Month Payment: $222 monthly ($300 monthly after January 1st, 2026)

3-Month Payment: $200 monthly (available until January 1st, 2026)

9

Do Mondays, 4:00 - 5:30pm ET work for you?Subsequent meeting dates, every Mondays at 4:00-5:30pm ET starting February 9th, 2026

Yes

No