Chakra Intuitive Intensive - Initial Questionnaire

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1. Thank you for your interest in the Chakra Intuitive Intensive! This questionnaire will help us determine together if this program is a good fit for you, and if you are a good fit for the program.

To begin, please describe what you hope to get out of this program? *This question is required.

2. How would you describe your knowledge and experience of your energy field & chakras? *This question is required.

3. If you'd like, describe what experience you've had in working with energy & chakras:

4. The Chakra program involves one on one sessions, videos, reading materials, art making & suggested action steps. These are created so you really get the most out of this program as possible. I recommend having at a minimum 1 hr per week to devote to your chakra work. Do you have time to devote to this program? *This question is required.

Yes, I can easily find time myself & this work
Finding time is difficult but I feel I can do it
I'm not sure if I'd be able to find much time

5. Where do you live? *This question is required.

6. Do you have any questions about the Chakra Intuitive Intensive?

7. Enter your first & last name:

8. What is the best email address at which to contact you? *This question is required. This question requires a valid email address.