Provider Availability and Time Preference Survey Fall 2025

Availability & Time Preference Survey for Provider Professional & Personal Connection, Reflection, & Growth Fall 2025 Offerings

***Data submitted via this form is encrypted. I will not publish-share-distribute your responses/data.***
Your Name*

Chosen/Common NameLast Name/Initial
Email*
What time zone will you be in during Fall 2025?
Are you an anti-oppressive, mental health service provider (e.g., therapists, prescribers, trainees)*

yesOther
Before going further, please complete the doodle poll linked to this page for your schedule availability:

https://doodle.com/group-poll/participate/bWBn2gga
Did you complete the doodle poll linked above?*

yesOther
Of your doodle responses, feel free to add any additional notes, questions, time preferences, concerns etc.

Please rank your preference for the type of workshop or provider gathering that is most of interest

	High Interest	Mod Interest	Some Interest	Low Interest
Anti-Oppressive Business Best Practices to avoid Burnout
Gender Affirming Surgery Assessment in these times
Navigating our Relationship to Self & Others in our Clinical work (trauma-informed NARM)

If you were unable to join/attend live, would you be likely or interested in watching the recording afterward?

Ideally live but OK with recordingOpen to live or recordingVery unlikely to watch recordingOther

If the group with an interesting topic were offered at one of your available times, how likely is it you might enroll?

	1	2	3	4	5

1 is Unlikely, 5 is Very Likely

Availability & Time Preference Survey for Provider Professional & Personal Connection, Reflection, & Growth Fall 2025 Offerings