H Opp Weekend interest list
The Opportunity Weekend is an experience (not a class or a lecture). You will be interacting directly with me, my amazing team and other participants. We will be talking, playing, sharing, learning and practicing some amazing new skills together. You are going to experience a space that is 100% dedicated to your growth and your happiness.

This questionnaire gives us an opportunity to get to know you before we decide to work together. It also gives you an opportunity to make sure this is really something you want and are ready for. There are no right or wrong answers. Participants will be contacted on a first-come, first-served basis.

I look forward to going on this journey with you.

In support,

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Email *
Name (First, Last) *
(Your privacy of utmost importance. All information will be kept safe.)
Email address *
(To have a followup conversation about the weekend.)
Gender *
Age *
Where do you live? *
(City, state, country)
How long have you known about having H? *
What are your biggest challenges in living with H? How do you think H may be holding you back from living the life you want? *
What is most bothering you about having H? *
(Choose all that apply to you)
Which of these sentences best describes how you relate to telling people about H? *
Which best describes your current relationship status? *
What are your top 3 goals for coming to the H Opportunity weekend? *
What kind of support do you currently have for dealing with herpes as part of your life? *
(for example: friends, family, support group, personal coach, therapist or counselor?)
Have you ever done a personal growth workshop or seminar? *
If yes, please explain your experience of it; if no, please explain your thoughts on coming to this one.
It takes courage to step outside of your comfort zone, commit to change and come to a weekend like this. What has you inspired to come to the course? What are you wanting to get out of it? *
How did you hear about the H Opportunity and this course? *
(Search engine, another website, youtube, etc.)
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