Happy Health Institute Mind Body Skills Group Application Form
Thank you for your interest into a deeper dive format for gaining more mind body skills to reduce stress in your life. An online Mind-Body Skills Group is an educational program and this experience is grounded in self-reflection modalities that may bring up strong, transformative emotions within oneself as well as being witness to other’s emotions and experiences within the online group. We find that sharing and connecting with others creates a wonderful learning environment, helping you become more self-aware and engaged in self-care.
Email address *
First and Last Name *
Phone Number *
Address *
City, State, Zip Code *
If you have a pronoun preference (she, they, he, etc.) please specify (optional)
What is your occupation? Who's your employer? *
What is your level of experience with mind-body medicine? *
Please tell us about yourself and why you are signing up for an Online Mind-Body Skills Group. What do you want to get out of it? *
Which group times are you interested in? (Check both if they both work. This is not counted as your final decision.) *
Required
You will have a 15 minutes brief “meet and greet” on the phone with Dr. Onna Lo and make sure the program is right for you. Please schedule a time here: https://calendly.com/happyhealthinstitute/freephoneconsult *
TUITION: The cost of this 8 week group is $375. You will be charged at the time of your call with Dr. Onna Lo. $25 discount will be applied to yourself and anyone who you referred and registered with the group.  *
CANCELLATION & REFUND POLICY: We kindly request that you email our staff at support@onnalomd.com with as much advanced notice of your group start date if you are no longer able to participate so that we can offer your spot to another person. Participants who withdraw over 7 days prior to the group start date will receive a full refund minus a 10% administrative fee. Participants who withdraw 7 or fewer days before the group start date will be issued a 50% refund. No refunds will be issued after group begins. Group size will range from 6-10 participants. In the event that fewer than 6 participants are registered for the group 7 days prior to scheduled start date, the group will be canceled. In the event of cancellation we will refund any registration fees paid to the us. Such refund shall represent its entire liability to the registrant. *
Are you older than 18 years old? (This current group is for 18 and over, we will have separate groups for under 18) *
Today's Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Onna Lo MD. Report Abuse