Applications Are Now Open!
Apply For Rasa Heart Warrior Group While You Can Save $102
Approximate Time To Complete: ~5 Minutes
What is your full name?
What is your email address?
What is your phone number?
Feel free to share your Pronouns?
Please share your age?
Occupation?
Feel free to share your Sexual identity ?
How did you hear about Masood?
What types of counseling/inner work have you done previously, and for how long?
Are you on any medications? If so, what are they, and what are they for?
Have you been on prescription medications for psychological/emotional challenges?
Have you ever been hospitalized for psychological/emotional disorders?
Have you ever had an addiction to substances, porn, sex, eating, etc? If so, how did you work with this and how long has it been ?
Do you use tobacco, caffeine, drugs, and/or alcohol? If so, how much and how often?
Are you affiliated with a particular group or religious organization?
What were the major challenges in your family dynamics as a child?
What have the major challenges been for you as an adult?
Have you experienced any type of abuse? If so, please describe to you comfort level.
Have you ever been convicted of a crime? If yes, please describe.
Have you ever attempted suicide? If so, please describe to you comfort level.
Are you currently in an intimate relationship? If yes, for how long?
Is it committed, Monogamous? Any affairs?
What have been the major challenges for you throughout your history of intimate relationships?
What race / ethnicity best describes you?
I am offering a BIPOC only group, would you be interested in joining a space specifically for Black, Indigenous, and People of Color?.
What are the main things you would like to address in your work with Masood? What are you hoping will happen as a result?
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