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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.

 

Click the button below to start.

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

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Question 1 of 20

What's your name?

Question 2 of 20

What is your email address?

Question 3 of 20

Where do you live? 

Question 4 of 20

What is your gender identity?

Question 5 of 20

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

Question 6 of 20

What experience or training do you have with IFS? 

Question 7 of 20

Have you practiced IFS in your own work on yourself? 

Question 8 of 20

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

Question 9 of 20

Have you observed and/or participated in one of our Interactive IFS Demo Groups?

A

I have observed an Interactive IFS Demo Group (either live or via recording) but not participated myself

B

I have participated as a volunteer in an Interactive IFS Demo Group

C

I have not observed nor participated in an Interactive IFS Demo Group

Question 10 of 20

Are you a therapist or coach? (not required)  

Question 11 of 20

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

Question 12 of 20

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

Question 13 of 20

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

Question 14 of 20

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 15 of 20

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

Question 16 of 20

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

Question 17 of 20

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 18 of 20

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

D

Two Wednesdays 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 19 of 20

We have three different rate offerings for our groups: 

-The Supporter Rate is $250 per month

-The Standard Rate is $220 per month

-The Access Rate is $175 per month

A

I am able to pay the Supporter Rate of $250 per month

B

I am able to pay the Standard Rate of $220 per month

C

I would need the Access Rate of $175 per month to participate

Question 20 of 20

How did you first hear about the Interactive Group Institute / Jay Earley?

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