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RealTime Group Practice Questionnaire

Thank you for your interest in the RealTime Group Practice sessions.

This is where we get together regularly to practice Jin Shin Jyutsu!

Once you have filled out this short questionnaire, I will send you an invitation by email to join. Please note that because of possible time differences, this might take up to 12 hours.

Thank you,
Astrid

PS Please could you check your spam/junk folder if you don't receive anything from me within 12 hours!

Click the button below to start.

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Question 1 of 12

How did you hear about this Jin Shin Jyutsu RealTime Group Practice? 

Question 2 of 12

Have you attended any Jin Shin Jyutsu classes? 

A

Yes

B

No

Question 3 of 12

Which Jin Shin Jyutsu classes have you attended with Astrid? 

(Select all that apply)
A

Skills For Life Part 1

B

Skills for Life Part 2

C

Skills for Life Part 3

D

Skills for Life Part 4

E

Skills for Life Part 5

F

None

Question 4 of 12

Which other Jin Shin Jyutsu classes have you attended? 

(Select all that apply)
A

5 Day Basic Seminar

B

Self Help Class with Other Teacher

C

Special Topic Class

D

None

Question 5 of 12

Which materials / resources do you have on Jin Shin Jyutsu? 

(Select all that apply)
A

The Touch of Healing

B

Self Help Book(s) by Mary Burmeister

C

Text 1 and 2 by Mary Burmeister

D

Flows For Life Resources (online)

E

Other Books

F

None

Question 6 of 12

Do you practice Jin Shin Jyutsu Self Help? 

(Select all that apply)
A

Yes, every day!

B

Yes, when I need to

C

Yes, sometimes when I remember

D

Not really

E

No

Question 7 of 12

What aspect(s) of Jin Shin Jyutsu are you most eager to learn about? 

Question 8 of 12

Are you a Jin Shin Jyutsu Practitioner? 

A

Yes

B

No

Question 9 of 12

What do you hope to get out of the Jin Shin Jyutsu group practice sessions?

Question 10 of 12

What do you want help with? 

Question 11 of 12

First and Last Name

Question 12 of 12

Email Address (the email you used to pay for your subscription)

Confirm and Submit