Hello Registrant! Please complete this Participant Questionnaire for the

Restore Your Self IFS Retreat with Laura Schmidt, LMFT right away.

Laura is curating your retreat based on experience level so it’s important she hears from you! Your responses go directly to Laura. No one else sees them.

There is still space available if you’d like to invite a colleague to join you!

We look forward to welcoming you soon. Thank you.

Name

First Name

Last Name

Phone

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State/Province or Country

Occupation and clinical setting:

The basic scope or highest level of your IFS experience/training:

How long have you been practicing IFS?

Approximately how long have you received IFS therapy as a client? or about how many sessions?

Any concerns or accommodations you'd like Laura to know about ahead of time?

Any specific hope/wish for our retreat?

How did you hear about this Retreat?

to help us with future marketing decisions

Kripalu Website, Ad or Email

IFS Listserv

Laura's community

Friend or Colleague

Social Media

The One Inside Podcast

IFS Conference

Other:

If other, where?

Pause with Laura