Application for 2023 Group CHAKRA SADHANA

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This form is an invitation to explore if we are a good match for the 2023 group starting in August. The group ends in January 2024. Filling out this form does not guarantee a spot in the group program. You will be contacted for a phone conversation shortly.

Email *

Full Name & Age *

Email *

Marital Status & Number of Children *

Briefly describe the work you do for a living *

Have you ever received therapy or mentoring? If so, for how long? Briefly describe your experience. *

Have you learned the Heart-Based Meditation? If so, how often do you practice? *

Why would you like to be part of the chakra sadhana group? *

What do you hope to heal? *

Are you able and willing to commit to six months of weekly group mentoring and healing sessions? *

What fears do you notice coming up for you as you fill out this form? *

If you could have the best outcomes from spiritual mentoring from the Chakra Sadhana group, what would like to have? *

Are you able to make the financial investment in your inner development? *

Anything else you would like share, please do so below. *

A copy of your responses will be emailed to the address you provided.

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