Thank you for your interest in collaborating on a workshop! Please fill out our questionnaire below to help us get to know your vision and/or organization. Should you need assistance, please contact hello@thewellhealing.com.

Question Title

* 1. Please provide contact information:

Question Title

* 2. How did you hear about The Well?

Question Title

* 3. What service would you like Mackala lacy to offer?

Question Title

* 4. Title, Date, and Location of workshop

Question Title

* 5. Please describe the intention of the workshop. (i.e. What do you hope participants receive from the workshop?)

Question Title

* 6. Please check all that describe your target community.

Question Title

* 7. Is there anything else we should know?

0 of 7 answered
 

T