Seeds of Wisdom Mentoring Circle

First name

Last name

Email

Phone

Years of Personal Practice

Have you practiced with Imee before?

Yes

No

Not sure

Are you currently seeing a therapist?

Yes

No

I would like to

Please share any pertinent information about your mental health, including any current conditions or concerns, as well as details about prescription medications you may be taking.

Please share your aspirations and what type of support you need for your practice, study, mentorship and community connections?

Dana / Donation

Seeds of Wisdom Mentoring Circle

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