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Interactive Group Questionnaire

We're delighted that you're interested in our Interactive Groups.

This questionnaire is designed to learn more about your background, familiarity with IFS and Interactive Groups, and the ways you'd like to grow.

Please take your time responding to the questions.

At the end you will see a Restart button, which you can click if you want to go back and change your responses. 

Click the button below to start.

After the first question click "Next" to move through the questionnaire.

Start

Question 1 of 19

What's your name?

Question 2 of 19

What is your email address?

Question 3 of 19

Where do you live? 

Question 4 of 19

What is your gender identity?

Question 5 of 19

Would you like to state your race, culture, and/or religion?

Question 6 of 19

What experience or training do you have with IFS? 

Question 7 of 19

Have you practiced IFS in your own work on yourself? 

Question 8 of 19

What experience do you have with interpersonal or process groups? (none required)  

Question 9 of 19

Are you a therapist or coach? (not required)  

Question 10 of 19

What makes you interested in joining an Interactive/IFS Group? 

Question 11 of 19

These groups focus on interpersonal dynamics. What relational patterns do you imagine might come up for you in a group setting?

Question 12 of 19

Do you have a history of significant trauma? (If so, how much of this have you worked through? Are you currently working on it in therapy?)

Question 13 of 19

Is there any danger that conflicts in the group could be destabilizing for you? (If so, please explain your concern.)

Question 14 of 19

Have you ever been treated with psychiatric medicine? Have you been hospitalized for psychiatric reasons? (If so, please give a brief summary of your experience.)

Question 15 of 19

Are you currently working with a therapist? (If so, for how long? Do they have IFS training?)

Question 16 of 19

Which of the following could be an important growth area for you in an Interactive Group?

(Select all that apply)
A

Facing conflict more directly

B

Expressing myself without getting too angry or judgmental

C

Being more open and emotionally vulnerable with others

D

Receiving honest feedback without getting defensive

E

Giving honest feedback without overthinking or holding back

Question 17 of 19

Interactive Groups meet twice a month for two hours. Which of the following could you attend?  *Select all you could attend, not just your preference*

(Select all that apply)
A

Two Mondays a month from 10am-12pm pacific time // 1pm-3 eastern // 6pm-8 UK

B

Two Mondays a month from 12:30pm-2:30pm pacific time // 3:30pm-5:30 eastern // 8:30pm-10:30 UK

C

Two Wednesdays a month from 10am-12pm pacific time // 1pm-3 eastern // 6pm-8 UK

D

Two Thursdays a month from 10am-12pm pacific time // 1pm-3 eastern // 6pm-8 UK

E

Two Thursdays a month from 11am-1pm pacific time // 2pm-4 eastern // 7pm-9 UK

F

Two Fridays a month from 10am-12pm pacific time // 1pm-3 eastern // 6pm-8 UK

G

None of these work for me, I need a different day/time

Question 18 of 19

How did you first hear about us?

Question 19 of 19

By submitting this form, you are signing up for our email list. What information are you most interested in hearing about? 

(Select all that apply)
A

I am interested in becoming a member of an Interactive IFS group.

B

I am interested in professional training to lead Interactive IFS groups with Jay Earley.

Confirm and Submit