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Name
*
First
Last
Email
*
Phone Number
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Address
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Line 1
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City
State
Zip Code
Country
Name of Organization or School
*
Address
*
Website
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Describe your organization
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Number of people (employees and/or students)
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What motivated this request
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I am looking for:
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Telehealth
In-person
Hybrid
Other:
Which services are you interested in?
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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?
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Yes
No
Hopefully
Other:
What insurance does the organization offer?
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Does your administration support this effort?
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Yes
Hopefully
How do you plan to advertise these offerings?
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Employee Newsletters
Staff Meetings
Department Meetings
Flyers
Employee Website
Other:
How will you measure the success of the program?
*
Critical Incident Responses:
*
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
[email protected]
with immediate questions.
Be well!
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Home
Meet Our Team
Yoga & Wellness Center
Wellness Programs
Revolutions T&T
FAQ
Groups
Services
Contact
Published Books
Book Events
Financial Assistance
Branches Gear
Resources
Articles
Blog
