Home in Our Hearts Questionaire

Home in Our Hearts QUESTIONNAIRE

Hi love, I’m so honored you are interested in joining this journey with me. I know the group we are weaving together is going to be a really special constellation. Before we finalize your spot, I’d love to get to know a bit more about your intentions for joining this course and a few more details about you.

Name

First Name

Last Name

Phone

(###)

###

####

Where are you currently located?

What is your main intention behind joining this course?

What is your relationship like with the natural world?

How would you describe your relationship with food and how you nourish your body?

How do you feel about your relationship with your moon cycle and your womb?

What is your favorite way to express your creativity?

We will be meeting live via zoom every Tuesday at 3pm PST starting February 20th and ending March 12th. It's really important for the collective intention of this container that we are all able to meet live, even though each meeting will also be recorded and sent out to everyone after the call. Can you commit to meeting live at this time?

The course cost is 222-333 USD sliding scale, I use a sliding scale to make the course more accessible to a wider range of sisters. Those who can afford to pay the price of 333 are helping to fund the cost of other sister's spot. I really love the system of a sliding scale, it feels more circular and communal to me :) I fully support any payment option you chose for this course, and I am also so open to payment plans. It's really important that if you feel called to join we can make it happen no matter what. Can you please share with me down below what your desired payment/ payment plan is for this course is?

Is there anything else you would like to share with me before we start this journey together? I'm creating the specific material for this course as sisters sign up and tell me more about their intentions, so I would love to hear anything else that might be on your heart <3

Thank you so much for taking the time to fill out this form. To finalize your spot for the course your can venmo me your payment at @Kira-Wildheart, or send me the payment through PayPal if you do not have a US bank account. My email for PayPal is Kiranikkizim@gmail.com. Please let me know down below what payment method you plan to use :)

Since I fully trust you are meant to be in this course if you have taken the time to reach out to me and fill out this questionnaire, once you send me your payment there will be no refunds. Please check the box down below to let me know you agree to this.

I agree