Hoffman Transformation Circle Interest

Question Title

* 1. What is your name?

Question Title

* 2. At what email address would you like to be contacted?

Question Title

* 3. What is your preferred phone number?

Question Title

* 4. What courses have you completed with the Hoffman Institute?

Question Title

* 5. What teacher(s) would you be willing to be placed with for the Hoffman Transformation Circle?
(Please select as many as you can, as not all teachers will have availability)

Any

Amy Thompson

Andi Saucerman

Andy Milberg

Barbara Burke

Barbara Comstock

Cheshta Buckley

Chris Sansone

Crystal Jenkins

Drew Horning

Ed McClune

Hilary Illick

Ian Salvage

Jane Biondi

Jo Mattoon

Kevin Eyres

Linda Hartka

Lisa Wenger

Maria Camara

Marissa Ingrasci

Matt Brannagan

Max Gaenslen

Nita Gage

Raz Ingrasci

Regina Louise

Sharon Kennedy

Sharon Mor

Steve Granville

Question Title

* 6. From the above list of teacher, please provide your top 3 preferences:

Question Title

* 7. What days of the week could you be available to participate in the Transformation Circle?

	Preferred	Available	Possible	Not Available
Monday	Monday Preferred	Monday Available	Monday Possible	Monday Not Available
Tuesday	Tuesday Preferred	Tuesday Available	Tuesday Possible	Tuesday Not Available
Wednesday	Wednesday Preferred	Wednesday Available	Wednesday Possible	Wednesday Not Available
Thursday	Thursday Preferred	Thursday Available	Thursday Possible	Thursday Not Available
Friday	Friday Preferred	Friday Available	Friday Possible	Friday Not Available
Saturday	Saturday Preferred	Saturday Available	Saturday Possible	Saturday Not Available
Sunday	Sunday Preferred	Sunday Available	Sunday Possible	Sunday Not Available

Other (please specify)

Question Title

* 8. What time(s) of day could you be available to participate in the Transformation Circle?

	Preferred	Available	Possible	Not Available
8am- 10am PT	8am- 10am PT Preferred	8am- 10am PT Available	8am- 10am PT Possible	8am- 10am PT Not Available
10am-Noon PT	10am-Noon PT Preferred	10am-Noon PT Available	10am-Noon PT Possible	10am-Noon PT Not Available
Noon- 2pm PT	Noon- 2pm PT Preferred	Noon- 2pm PT Available	Noon- 2pm PT Possible	Noon- 2pm PT Not Available
2pm-4pm PT	2pm-4pm PT Preferred	2pm-4pm PT Available	2pm-4pm PT Possible	2pm-4pm PT Not Available
4pm- 6pm PT	4pm- 6pm PT Preferred	4pm- 6pm PT Available	4pm- 6pm PT Possible	4pm- 6pm PT Not Available
6pm- 8pm PT	6pm- 8pm PT Preferred	6pm- 8pm PT Available	6pm- 8pm PT Possible	6pm- 8pm PT Not Available

Other (please specify)

Hoffman Transformation Circle Interest

Question Title

* 1. What is your name?

Question Title

* 2. At what email address would you like to be contacted?

Question Title

* 3. What is your preferred phone number?

Question Title

* 4. What courses have you completed with the Hoffman Institute?

Question Title

* 5. What teacher(s) would you be willing to be placed with for the Hoffman Transformation Circle?(Please select as many as you can, as not all teachers will have availability)

Question Title

* 6. From the above list of teacher, please provide your top 3 preferences:

Question Title

* 7. What days of the week could you be available to participate in the Transformation Circle?

Question Title

* 8. What time(s) of day could you be available to participate in the Transformation Circle?

Question Title

* 9. Do you have anything else you would like us to know, or any questions?

* 5. What teacher(s) would you be willing to be placed with for the Hoffman Transformation Circle?
(Please select as many as you can, as not all teachers will have availability)