Events - Mending Hearts Life Coaching LLC

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Have you experienced any form of trauma that you'd like to focus on during this course?YesNoPrefer Not To Say

Have you participated in therapy or healing-focused programs before?YesNo

What type of support do you feel you need the most right now? (Select all that apply)Emotional supportPractical tools for healingConnection with others who understandSpiritual guidanceOther (please specify)

Do you have any accessibility needs we should be aware of?

If you have experienced or witnessed molestation, how has it impacted you or others emotionally, mentally, or physically?

Have you or someone close to you experienced molestation?Yes, myselfYes, someone close to meNoPrefer not to say

Payment ConfirmationI am ready to pay $59.97 to secure my spot.I need assistance or have questions about payment.Other (please specify)

"To proceed, please make your payment via Cash App to $Emilymai123. Once payment is complete, return to this form to submit your transaction details."

"Have you completed the payment?"YesNo

"Enter the Cash App transaction ID (or the name on the payment):"

"Thank you for your submission and payment! If you have any issues, contact us at emaidunbar@gmail.com

How did you hear about this course?A friend or family memberEmailOther (please specify)

I understand this is a 5-week online course, and participation requires a commitment to attend weekly Zoom sessions.I Agree