Partnership Questionnaire

Thank you for your interest in partnering with The Well! Please fill out our questionnaire below to help us get to know your business/organization. Should you need assistance, please contact hello@thewellhealing.com.

Question Title

* 1. Please provide contact information:

Name *

Company *

City/Town *

State/Province *

Country *

Email Address *

Phone Number

Question Title

* 2. How did you hear about The Well?

Instagram

Facebook

Online search

Word of mouth

Other (please specify)

Question Title

* 3. Please describe the service(s) or event(s) you would like to share with our community of Wellness Warriors. (Include pricing and rates if applicable)

Question Title

* 4. Is this service/event location specific?

Yes

If Yes, please specify city/state/country

Question Title

* 5. Share your inspiration and intention for joining with The Well.

Question Title

* 6. Describe how your business contributes to the growth and wellness of marginalized communities.

Question Title

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

Age specific

Allies

Asian diaspora

Black diaspora

Dis- / Differently-abled

Fat / Larger Bodies

Incarcerated / Formerly Incarcerated

Indigenous / Native

Latinx

LGBTQ+

Low-income

Men

Non-minority

Non-specific

Undocumented

Women

Other (please specify)

Partnership Questionnaire

Question Title

* 1. Please provide contact information:

Question Title

* 2. How did you hear about The Well?

Question Title

* 3. Please describe the service(s) or event(s) you would like to share with our community of Wellness Warriors. (Include pricing and rates if applicable)

Question Title

* 4. Is this service/event location specific?

Question Title

* 5. Share your inspiration and intention for joining with The Well.

Question Title

* 6. Describe how your business contributes to the growth and wellness of marginalized communities.

Question Title

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

Question Title

* 8. Is there anything else we should know?