Survey for programs - Branches of Growth Mental Health Counseling & Yoga Studio

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Name *

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Address *

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City

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Name of Organization or School *

Address *

Website *

Describe your organization *

Number of people (employees and/or students) *

What motivated this request *

I am looking for: *

Telehealth In-person Hybrid Other:

Which services are you interested in? *

Self- Care Social Individual Sessions Lunch Group Breathing Break Gentle Yoga Presentation: Suicide Prevention Presentation: Mental Wellness Presentation: Mindfulness 101 Presentation: Other Other:

Is there dedicated time during the day to schedule these services? *

Yes No Hopefully Other:

What insurance does the organization offer? *

Does your administration support this effort? *

Yes Hopefully

How do you plan to advertise these offerings? *

Employee Newsletters Staff Meetings Department Meetings Flyers Employee Website Other:

How will you measure the success of the program? *

Thank you for your interest in Branches of Growth Mental Health Counseling & Yoga Studio.
We will reach out to you soon with more information. In the meantime, contact Allison at allisongraff@branchesofgrowth.com with immediate questions. Be well!

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Branches of Growth Mental Health Counseling and Yoga Studio, Branches of Growth, LLC
Please note: No one will be denied access to services due to inability to pay; and there is a discounted sliding fee schedule available.
113 Church St. North Syracuse, NY 13212
6221 Rt 31 Ste 101B Cicero, NY 13039
Phone: 315-415-0308 info@branchesofgrowth.com

Home
Yoga
Groups to Join
Services
About
Employment Opportunities
Resources
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Contact
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