Breathwork & Badassery Intake Survey Please complete this survey prior to attending your Breathwork & Badassery virtual workshop to get the most value from the event. Name* First Last Email* How did you hear about this event?* A Facebook Ad Our Facebook Group Email What forms of breathwork have you done before? Holotropic Conscious Connected Other On a scale of 1-10, how strong is your relationship to your inner child?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 No CAPTCHA
