WORKSHOP CONSULTATION

Thank you for your interest in bringing collective healing to your community. This form helps me understand your group's needs so we can design an experience that truly serves your people.
Your Name*

First NameLast Name
Your title/role:*
Pronouns (She/Her, He/Him, They/Them, Combo)*
Your organization/group:*
Your organization's website:*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Contact Method:*

TextCallEmail
About Your Group
What type of organization/community are you part of?*

HEALTHCARE: Hospital, clinic, mental health center.\HELPER ORGANIZATION: DV shelter, crisis center, social servicesEDUCATION: School, university, training centerNONPROFIT/ADVOCACY ORGANIZATION: Corporate/business, community group/affinity groupOther
If other, please explain:
How many people would participate?
What roles/departments would be involved?*
Describe your community's current stress landscape:*
What You're Seeking
What's driving your interest in stress management work right now?*

High burnout/turnover ratesCompassion fatigue/vicarious traumaWanting to be proactive about wellbeingOther
If other, please explain.
What type of experience interests you most?*

Single workplace workshop (2-4 hours)Workshop series (multiple sessions)Full-day intensive (6 hours)Weekend retreatCustom design/not sure (explain below)
Tell me about what type of experience you're interested in.
What are you hoping participants will gain? (check all that apply)*

Understanding of stress sciencePersonal regulation toolsCreating a more supportive work environmentOther
If other, please explain.
Your Group's Needs
Current workplace stress level (1-10): *
What approaches to stress management has your group tried before?*
How did those work (or not work)?*
Any specific challenges or sensitivities I should know about? (Recent organizational trauma/loss, High-stress external environment, Diverse group with different needs, Skepticism about "wellness" approaches, Limited time/resources, Other):*
Logistics
Preferred timing*

Weekday during work housWeekday eventWeekendFlexible
Location:*

On-site locationOff-site locationVirtual/online
Budget considerations:*

We have a specific budget in mindWe need to discuss cost optionsCost is not the primary concern
Organizational Culture
How would you describe your group's vibe?*

Traditional/formalProgressive/alternativeSkeptical of "soft skills" trainingOpen to new approachesMixed- some resistant, some eagerOther
If other, please explain.
Your group's comfort level with real talk about systemic stress:*

HighMediumLowUnsure
Your group's comfort level with discussing social justice issues:*

HighMediumLowUnsure
Your group's comfort level with body-based practices:*

HighMediumLowUnsure
Your group's comfort level with emotional expression:*

HighMediumLowUnsure
Which modalities are you interested in?:*

SwedishGentle Deep TissueCraniosacral TherapyLymphatic DrainageNot sure, I'm curious
Interest in additional options:*

Essential oilsCrystalsSound balancingNot sure, I'm curiousNone of these
Decision Making
What would make this a clear "yes" for your organization?*
Any concerns or hesitations you'd like to discuss?
What else would be helpful for me to know about your group or this situation?
Questions about my approach or experience?
Thank you for taking the time to share with me.

After I receive your form, I'll reach out within 48 hours to explore whether we're a good mutual fit and how I might best support your healing.
Should be Empty:

About Your Group

What You're Seeking

Your Group's Needs

Logistics

Organizational Culture

Decision Making