Questionnaire

As you consider receiving Libra Rising services through our sponsorship program, we invite you to reflect on the questions below. We’d love to get to know you better, so please answer as honestly as possible. There are no right or wrong answers—only your truth. Your responses help Libra Rising better understand how to best support you.

Tell us about yourself

First Name

I am a resident of Yuma AZ or surrounding areas.

Last Name

Home Address

Upload Proof of Residency

Screenshot of ID, Utility Bill or other doc verifying home address.

This sponsorship is intended for those ready to engage in their own wellbeing - what makes you a strong candidate?

What areas of your life could use a boost right now?

Imagine it's one year from now and you’ve engaged regularly with our library of resources, community check-ins and one-on-one sessions - what shifts do you hope to see in your body-mind, your life and relationships?

We want to align our services to community interest - what offerings are you most interested in and what would you like to see Libra Rising offer?

Sign me up for a free annual membership

I agree to the terms & conditions

Thanks for applying!

Thank you for sharing your experience and vision. Your answers

help us create a tailored healing opportunity for you and our community.

Questions?

If the FAQ page doesn't answer your question,

please reach out.