Name*

Email*

Phone

Are you a...?*

What city & country are you in right now? *

How did you find out about the summit?*

Who did you listen to?*

What are some pain points you have in your life that you would like to remedy?*

Were you able to find any resources or help for any pain points from the speakers? What if any?*

Did you learn anything completely new that you have never heard of before?*

Who of the speakers would you recommend to a friend? Why?*

Would you like to attend a summit like this in person? Name a city close to you where you would.*

Was the value appropriate for what you received as an attendee?*

What could be improved for next year's lineup?*

What technological pros and cons did you experience?*

Who do you know that you would like to add to the summit?*

What topics would you like to see next year?*

If you could get a goodie bag in snail mail - what would you like to be inside? (herbs for tea, chocolate, essential oil rollers, notebook, spices, poster, prayers, earrings, bracelets, socks, salves, tinctures, booklets, breastfeeding help cards, flashcards for healthy postpartum, pens, checklist for homebirth, resources for toxicity i.e. heavy metal testing, etc...)*

Would you like to take a 12 week deep dive journey with me starting at the end of April?*