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Sacred Breathwork Circle Application
Hello and welcome!!! Take a nice deep breath! You have arrived at a new level of support.
Please fill out the form to the best of your knowledge. I look forward to supporting you!
Warmly,
Cassie
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Email
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Your email
Please share your name and a bit about what brings you here.
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Your answer
Are you a Sensitive, Seeker, Helper or Healer?
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Yes
No
Other:
What are you being called to grow within yourself right now?
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Your answer
What your biggest struggle?
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Your answer
Have you been diagnosed with any mental health issues in the last 5 years? If so, just tell briefly tell me more.
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Your answer
Do you suffer from any health conditions? If so, briefly tell me more.
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Your answer
Have you experienced Breathwork before? Tell me what your experience is...
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Your answer
The group I am applying for is...
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Group 1: 3rd Thursday - 6:00 - 8:00 pm
Group 2 - 3rd Friday - 10:00 am - 12:00 pm
Can you agree to take 100% responsibility for showing up for yourself and others for 3 month increments?
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Yes
No
Maybe
A copy of your responses will be emailed to the address you provided.
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