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

Choose your payment planEarly bird rate of $1111 is available until March 1st, 2026

Single Payment: $1111 ($1400 after March 1st, 2026)

4-Month Payment: $278 monthly ($350 monthly after March 1st, 2026)

6-Month Payment: $186 monthly (available until March 1, 2026)

9

Do Fridays, 11:00am - 1:00pm ET work for you?Subsequent meeting dates, every Fridays at 11:00am-1:00pm ET starting May 1st, 2026

Yes

No