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.Format: (000) 000-0000.
Preferred Contact Method:
About Your Group
What type of organization/community are you part of?
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?
If other, please explain.
What type of experience interests you most?
Tell me about what type of experience you're interested in.
What are you hoping participants will gain? (check all that apply)
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
Location:
Budget considerations:
Organizational Culture
How would you describe your group's vibe?

Other
If other, please explain.
Your group's comfort level with real talk about systemic stress:
Your group's comfort level with discussing social justice issues:
Your group's comfort level with body-based practices:
Your group's comfort level with emotional expression:
Which modalities are you interested in?:
Interest in additional options:
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