Trigger-Proof Experience INTAKE SURVEY

Tigger-Proof Experience Intake Survey

Please complete this survey prior to attending your Trigger-Proof Experience virtual workshop to get the most value from the event.

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Name*

First Last

Email*

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How did you hear about this event?*

A Facebook Ad

Our Facebook Group

Other

What forms of breathwork have you done before?

Holotropic

Conscious Connected

How would you describe your relationship with your inner child?*

Non-existant

0-3 Months

3 Months +

Where do you feel blocked right now?

Health

Sense of Purpose

Relationships

Career

What constraints are happening in your life that you feel that deepening your relationship with yourself will solve?*

How critical is it for you to find the root cause and solve it?*

This is seriously impacting my life and I’m ready to solve it NOW

It’s something that bothers me and I’m willing to work on it

It would be nice but I’m not dedicated to resolving the issue

Provide as much detail as you wish so that we can help guide you to a more complete experience.*

Are you open to receiving personalized help from our team?*

Yes

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The Power to Impact

Every relationship you experience from this point forward.

The Power to Change

The way you see yourself, your worth, your value.

The Power to Receive

The love, success, and connection you’ve been chasing.

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You’re Not Broken. You’re Just Triggered.

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Trigger-Proof Experience INTAKE SURVEY

Tigger-Proof Experience Intake Survey

The Power to Impact

The Power to Change

The Power to Receive

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