THIS BOOK SURVEY IS CLOSED

Discussion Group Participation

Personal Info
General note: We ask for a lot of information here, hoping to match you with the best possible partners for the best possible experience. We promise our best efforts. We will take all this information into account, but we can’t know in advance how closely we will be able to match you with others with similar scheduling, interests, and backgrounds.
Name*
First Last
Email*
Location*
City State / Province / Region Country
Time Zone
Possible Meeting Times
What days & times can you possibly meet? (Please choose as many as are realistic for you!) We imagine meetings lasting just 1 hour, 90 minutes or 2 hours, but please answer using multiple choice identifying 3-hour blocks of time. (Translate your local time to PDT / CA time.)
Approximate time of day.*
- 12 AM - 3 AM PDT
- 3 AM - 6 AM PDT
- 6 AM - 9 AM PDT
- 9 AM - 12 noon PDT
- 12 noon - 3 PM PDT
- 3 PM - 6 PM PDT
- 6 PM - 9 PM PDT
- 9 PM - 12 AM PDT
Choose as many as apply.
Days of the week.*
- Saturday
- Sunday
- Monday
- Tuesday
- Wednesday AM
Choose as many as apply. Note: Since new chapters are released Wednesdays at Noon Pacific, we do not include Wednesday evening, Thursday or Friday times, to allow time for you to read the chapter before your group meets.
What I am good at and interested in (Rank in order):
- Rigorous intellectual discussion
- Deep feeling engagement with the implications of the ideas
- Deep listening and We-Space
- Personal support and bonding
Drag & drop the above choices to rank in order.
Personal Background
(Please rate each 1-5, from low to high)
History of deep psychological and spiritual work*
1 2 3 4 5
History of reading and understanding Integral philosophy*
1 2 3 4 5
Experience with we-space work*
1 2 3 4 5
History of working with Terry Patten*
1 2 3 4 5
I have already read A New Republic of the Heart*
1 2 3 4 5
I am willing to support others in my group by committing to weekly meetings (missing as few as possible and definitely less than 25%).*
- Yes
I am sincere and commit to participating in my group constructively. I will help create coherence as a practice. I do not have problems with mental health or addiction that might interfere with my ability to participate responsibly in my group.*
- Yes
I understand that although the Terry Patten team will do its best to introduce me to other group members and support us with deepening questions and best practices, I realize that these will be self-moderated groups, and I accept responsibility for creating a successful experience for myself and my fellow evolutionaries. I realize that some people may respond a bit late and that this might affect the schedule of group introductions such that my group may not be introduced in time to discuss the earliest chapters.*
- Yes

*
First
*
*
Your privacy is important to us. We'll also send you occasional emails with Terry’s writing, audios, & videos as well as announcements and updates about his courses, books and events. Very occasionally, we will also let you know about offerings from other people and organizations that are helping create a new republic of the heart.
- I Agree

Discussion Group Participation

Personal Info

Possible Meeting Times

Personal Background

Footer

Keep in Touch