Informed Consent for Using the Wellness Weavers Cisco WebEx "Enterprise" Web-based Meeting & Event Center

The Mission of the Wellness Weavers Green STARship Enterprise (our Cisco WebEx Event Center)

The mission is to use the world wide web to improve and support a Green Way of good living and retirement in our actual homes, schools, churches, organizations, businesses, and communities connected by a WOMAN, Wellness Oriented Mutual Aid Network.

An excellent mothering woman protects and nurtures all ages, all abilities with the intent that all within her care will end up with healthy relationships and having a good, productive and happy life.

The Wellness Weavers WOMAN is supportive and stronger with our collective desire to be well and to use our STAR power to be an active participants using our Skills, Talents, Attitudes, and Resources for service and learning whether we are in our own environments or meet "aboard the bridge" and engage with each other.

If you wish to engage your STAR power with the goal to help the group move through complex issues where anger, anxiety, or apathy have impeded positive action in the past, you have come to right place for a "Test Flight" opportunity.

We believe that the Cisco WebEx HIPAA Compliant web tool can help everyone to be heard and facilitated to collaborate and innovate in ways that result in planned action steps.

Completing this survey will register you and allow you access to the collaborative event if you.

1) Register your email address where you will have access to high speed Internet

2) Your laptop or mobile device with audio-visual capacity, and

3) Your willingness to download the free Cisco WebEx APP

We are lifelong learners as listeners, care-coordinators, and care-givers with intergeneration families, including blended families with adoption, inter-racial marriages and offspring, suicide, LGBT, ACEs (Adverse Childhood Experiences), fractured relationships, mental health issues, Substance Use Disorders, PTSD, dementias, other chronic health problems, accidental deaths, and financial problems.

We learn so much from and with each other...we can become better together!

Wellness Weavers is how we add real research, best practices to the intellectual, social, emotional, purposeful (spiritual), life that boosts the immune system for best health and wellness. Wellness adds the art and science of living full lives of meaning and vitality.

By answering the five simple questions, you can decide if you want to join us on this journey as "We explore new frontiers and go where no MAN has gone before!"

It doesn't take Scotty to beam us aboard

Question Title

* 1. Please indicate the role that you would like to play with your STAR power during a future webinar event. If you don't find your role listed, you can add it in the comment section below.

Panelist: I represent a tax payer that feels that the goverment is not efficient or listening to my ideas.

Panelist: I or my family member has a disability and are receiving services or are on a Waiting List

Panelist: I am a student in the social work field or human resources field

Panelist: I am a professional Licensed Marriage and Family Therapist

Panelist: I have a degree or certification in Mediation

Panelist: I have training and enjoy group facilitation

Panelist: I am a certified Educator

Panelist: I am a certified or licensed professional or caregiver

Panelist: I am a certified Laughter Yoga leader or Recreational Therapist or a Therapist with an alternate Science-based Art form

Panelist: I am a student in nursing or medical school (including Chinese Medicine, Naturopathopathy, Chiropractics, etc)

Panelist: I am an Registered Dietitian, or have a degree in Nutrition Sciences

Panelist: I have healed or made much progress in healing from Cancer by using alternatives or wholistic treatment plan

Panelist: The Quality of my Life has been greatly improved with a wholistic health and wellness plan though I was diagnosed with a mental health issue, such as Depression, Bipolar, PTSD, Dementia, or other mental illness

Panelist: I am a Veteran (and live in a large urban area)

Panelist: I am a Veteran (and live in a small town or rural area but have access to Internet)

Panelist: I am a Medical Librarian

Panelist: I am a Law Professor, Lawyer or a Paralegal staff member

Panelist: I am an elected government servant for my local community

Panelist: I am an elected government servant for my state

Panelist: I am an elected government servant for the United States

Panelist: I am the President or designated spokesperson of a university

Panelist: I am the President of a Corporate Socially Responsible business

Panelist: I am a Socially Responsible Entrepreneur

Panelist: I am a civic leader that has attended a civil leadership course

Panelist: I am a government employee in a department or agency designee to participate as an offical representative member with a Citizens' Collaboration Committee

Participant: I am a lifelong learner and skilled in connecting with the knowledge I seek

Participant: I seek to become a lifelong learner to adjust my attitude from bitter to Affirmative Action

Philanthropist: our company, institution, agency has a Cisco WebEx Training Center account

Philanthropist: our company, institution, agency has a Cisco WebEx Event Center account

Philanthropist: I can spread the word via Social Media routes and Linked In Professional Network

Planner: I have had experiences with facilitating large and small groups to learn with fun.

Planner: I am involved with people and organizations that would love to help with the excellence of business function and the best practices for healthy engagment of employees, volunteers, or citizens.

Planner: I have experience with leading play with the purpose of stress management for enlightenment, & innovation tergenerational

Planner: I enjoy making themed events special such as recognized holidays or the National Health Observances

Planner: I have looked at the options that are available via the Wellness Weavers Website for helping run the actual Wellness Weavers Historic Homestead campus in Waterville, Kansas and want to help get those assets leveraged.

Planner: I have looked at the Wellness Weavers website & can help improve and leverage the virtual components of the project so ll communities and individual members within the global WOMAN4WEALTH4ALL can benefit!

Other (please specify)

Question Title

* 2. Indicate the best meeting times for you and your time zone.

	Yes	Maybe
Mondays	Mondays Yes	Mondays Maybe
Tuesdays	Tuesdays Yes	Tuesdays Maybe
Wednesdays	Wednesdays Yes	Wednesdays Maybe
Thursdays	Thursdays Yes	Thursdays Maybe
Fridays	Fridays Yes	Fridays Maybe
Saturdays	Saturdays Yes	Saturdays Maybe
Sundays	Sundays Yes	Sundays Maybe
Between 6-9 AM	Between 6-9 AM Yes	Between 6-9 AM Maybe
Between 9-12 AM	Between 9-12 AM Yes	Between 9-12 AM Maybe
Noon Hour	Noon Hour Yes	Noon Hour Maybe
Between 1-3 PM	Between 1-3 PM Yes	Between 1-3 PM Maybe
Between 3-5 PM	Between 3-5 PM Yes	Between 3-5 PM Maybe
Between 5-7 PM	Between 5-7 PM Yes	Between 5-7 PM Maybe
Between 7-9 PM	Between 7-9 PM Yes	Between 7-9 PM Maybe
USA Pacific Time	USA Pacific Time Yes	USA Pacific Time Maybe
USA Mountain Time	USA Mountain Time Yes	USA Mountain Time Maybe
USA Central Time	USA Central Time Yes	USA Central Time Maybe
USA Eastern Time	USA Eastern Time Yes	USA Eastern Time Maybe
Other County, please add Time Zone in comments	Other County, please add Time Zone in comments Yes	Other County, please add Time Zone in comments Maybe

Please use GMT + or - number of hours.

Question Title

* 3. Complete your contract info to get into the communication loop.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 4. What forms of social media do you feel are more effective in communicating with you and reaching the networks that would be so happy to be connected and supported as a member of the Wellness Weavers' WOMAN4WEALTH4ALL

Face Book

Twitter

You may add your preferred Social Media contact info

Question Title

* 5. Please use the number of stars to rate your excitement for this way to "weave" a new web-based way to support you locally along your path to a better future in your personal and professional life.