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Healing Circle Questionnaire

Thank you for your interest in joining our Healing Circle. This questionnaire is designed to help us ensure the circle remains a safe, soul-aligned, and supportive space for every participant. Your responses are held with deep reverence and care.

Community Alignment Questionnaire

Healing Circle Sign-Up

Welcome! Please fill out the form below to join our Healing Circle. Your responses help us create a safe and supportive space for everyone.

How did you hear about the Healing Circle?
Social media
Friend or family referral
Healthcare provider
Community event or flyer
Online search
Other
Current supports

Next Steps

Once you submit your questionnaire, I will carefully review your responses to ensure our circle is the right fit for your current journey. You can expect a follow-up email within a few days where I’ll share the upcoming group dates, location details, and anything else you need to prepare for our first meeting.

Thank you for your honesty and for trusting us with your story. We look forward to holding space with you soon.

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