Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MHMG Ongoing Pivot Survey
Help us create a new version of MHMG!
Sign in to Google
to save your progress.
Learn more
Name
Your answer
How old are you?
20-29
30-39
40-49
50-59
60-69
70-79
80 +
What type of Holistic Healthcare do you practice? (Select all that apply)
Integrative Medicine
Functional Medicine
Naturopathic Medicine
Chiropractic
Homeopathy
Nursing / Nurse Practitioner
Dental
Physical or Occupational Therapy
Nutrition
Herbalist
Psychology or Behavioral Health
Coaching
Acupuncture / TCM
Ayurveda
Massage Therapy
Spirituality/Spiritual Guidance
Movement Therapy
Yoga
Energy Healing
Equine/Animal Therapy
Other:
What would you value most from a professional community like this? (Select all that apply)
Networking
Continuing Education
Peer Collaboration
Referral Sources
Mentoring
Teaching/Presenting opportunities
Other:
What's the biggest challenge you face as a holistic healthcare professional in Minnesota?
Your answer
How would you prefer to connect and engage with this community? (Select all that apply)
In-Person Events
Virtual Meetings
Weeknight Events
Weekend Events
Online Forum
Newsletters
Other:
Are you willing to volunteer to make this new MHMG a reality?
Yes
No
Maybe
Clear selection
If Yes, what Committee would you like to join?
Descriptions are listed here:
Executive Committee
Event Planning Coordinators
Membership Coordinators
Volunteer Coordinators
Outreach/Social Media Coordinators
Technology Coordinators
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of minnesota holistic medical group.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report