Compassionate Collective Information Request Form

We are thrilled that you are considering joining The Compassion Collective, where we come together to co-create a supportive and inclusive space for growth, learning, and healing. Your presence and unique perspective are highly valued, and we are committed to making our meetings and events a meaningful and beneficial experience for you.

This information request form will help us better understand your preferences, needs, and aspirations, allowing us to tailor the meeting to accommodate a wide range of perspectives. Your input is instrumental in shaping the discussions, activities, and overall environment of our gatherings.

We respect your privacy, and any information you provide will be treated with the utmost confidentiality. Your responses will enable us to ensure that the meeting is accessible, engaging, and enriching for all participants. Feel free to share as much or as little as you are comfortable with. We encourage open communication and collaboration as we embark on this journey together.

Thank you for taking the time to complete this form. Your willingness to share your insights and needs will contribute to the co-creation of a space that supports the diverse experiences and strengths of our diverse community.

With gratitude, The Compassion Collective

What level of participation are you seeking? (Choose all that apply)

Individual ParticipantPartner Organization

Name

First NameLast Name

Preferred Pronouns

E-mail

example@example.com

Phone Number

Area CodePhone Number

Time Zone: Please let us know your current time zone so that we can consider scheduling when planning online meetings:

What types of activities are you interested in. (Check all that apply)

Online Meetings: I am interested in participating in online meetings.Event Planning: I am interested in participating in the planning of online events.

Do you have any sensory sensitivities or specific sensory needs we should be aware of?

Do you require any accommodations to fully participate in the meeting (e.g., closed captions, visual aids, quiet space)?

Are there any communication preferences we should know about?

What topics or themes are you particularly interested in discussing during the meetings?

Are there any specific activities or formats you find engaging and beneficial for a group setting?

Are you comfortable sharing a little about your neurodivergent journey or experience?

Have you attended similar recovery or community support meetings before? If so, what aspects did you find helpful or unhelpful?

Are you interested in co-facilitating or contributing in any way to the meeting's organization or activities?

Are you open to sharing personal insights, experiences, or resources that could benefit others in the group?

How do you prefer to receive communication about meeting updates, changes, or additional resources (check all that apply)

EmailTextPhoneOther

Do you have any suggestions for how we can make our meetings more inclusive, engaging, or beneficial for all participants?

Are there any specific formats or activities you believe could enhance the overall experience?

Are you comfortable with the information you provide being used to tailor the meeting experience and to communicate updates?

YesNo

Is there anything else that you would like to share with us? Including feedback about this form.

Visit our Privacy Policy.

The Compassion Collective

Participation:

Basic Information:

Meeting Format Preferences:

Accessibility and Accommodation:

Meeting Preferences:

Experience and Background:

Collaborative Participation:

Communication Preferences:

Feedback and Suggestions:

Privacy and Consent: