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Please fill out as much or as little of the form below as you'd like. If you would like to leave a testimonial, there is a space provided for that at the end of the form.

Thank you so much for your interest and support.

Date of Event Attended *
Date of Event Attended
How would you rate your experience on a scale of 1-5?
How inspired are you to attend another Conscious Transformation™ event?
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Are you willing to travel to another city to attend a Conscious Transformation™ event?
How do you intend to continue your personal transformation?
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