SHIFTS: One-on-one healing & accountability support interest form

SHIFTS: One-on-One Healing & Accountability Support Interest Form

Please complete this interest form and we will get back to you as soon as we can. Please know that anything shared here is confidential but we don't expect you to share too much, we just want to get a sense of what you are looking for. Once we get this, we will reach out to schedule a 30 min call or video meeting to learn more and to make sure we can offer the right support.
Full Name*

First Name
Email Address*
example@example.com
What kind of support are you looking for? *
What is your readiness to engage in the work of healing and accountability?
Have you engaged in any healing or accountability work previously?
Where did you learn about SHIFTS? *
Should be Empty:

SHIFTS: One-on-One Healing & Accountability Support Interest Form