Return to Self Wellness Survey
This survey is meant to better understand the needs of our audience so we can prepare offerings and services that align with what is most beneficial for you at this time.
Email *
Name *
Location
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Age Range
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How do you identify?
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Where do you think you are on your healing journey?
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What is your primary focus when it comes to healing? (Check all that apply)
 *
Required
What healing modalities do you enjoy? (Check all that apply)
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Required
Which of these offerings interest you?
 *
Required
What workshop focus appeals to you? (Check all that apply)
 *
Required
What is your monthly budget for healing services?
 *
Is there anything you would like to see offered that isn't already?
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