Name *

First Name

Last Name

Phone

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Which ways of being feel alive for you right now?

Select all that fit

Creative

Quiet

In Transition

Playful

Burned out but willing

Weird

Wild

None of these fit, but I'm still here

Are you drawn to any of the following practices?

Select all that apply

Movement (walking, stretching, Pilates, dance, etc.)

Journaling or expressive writing

Reading something deeply

Group conversation or dialogue

Embodiment or body-awareness practices

Yoga or somatic movement

Connecting to nature

Artistic creation (painting, collage, crafts)

Cooking or gardening

Trying something unfamiliar just to see how it feels

Something else…

How do you tend to show up in group spaces?

I love sharing

I observe first

It depends on the vibe

I'm still figuring that out

Are you able to commit to meeting up in person for 2-3 hours per month?

Yes

No

I'm not sure