"Re-Becoming the One" Participant Survey

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Hello!

Thank you so much for being a part of the Re-Becoming the One symposium!
We would love to learn a bit about you.
Feel free to answer whichever questions you feel comfortable with. Also feel free to keep your answers anonymous or not, as feels best for you.
Thank you again for being here and for being part of this healing journey for our world!

Much love,
Martha

What is your name? (optional)

What is your email address?

Where did you find out about this symposium?

One of the speakers (feel free to put their name below)

A friend

Facebook

Youtube

Instagram

Twitter

Other:

Clear selection

How old are you?

Under 18

18 - 25

26 - 35

36 - 45

46 - 55

56 - 65

66 - 75

76 - 85

86 - 95

96 or older

Clear selection

Where do you live?

What is your ethnic and/or cultural identity?

How do you identify in terms of gender?

Transgender (female to male)

Transgender (male to female)

Non-binary

Gender fluid

Gender Non-Conforming

Cisgender Female (born identified as a girl and still identify as female)

Cisgender Male (born identified as a boy and still identify as male)

I am not sure.

Other:

Clear selection

How do you identify in terms of sexual orientation?

Gay

Lesbian

Pansexual

Bisexual

Asexual

Heterosexual

I am not sure.

Other:

What is your greatest hope with regard to healing of our relationships to gender and sexuality, personally and for the world at large?

Is there anything else you would like to share with the organizers and speakers of this symposium?

Thank you so much for being a part of this healing symposium! My prayer and intention is that it is a wonderful, fulfilling, soul nourishing and healing experience for each of us and our world. Please be in touch with any questions, suggestions, or anything else at any time!! Love, Martha

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