Before we meet, please share a bit more about you as a facilitator
Please share a bit about yourself and your work below—this will make our time together even more valuable. 

Looking forward, 
Jakobien, Patrick, Haylin
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Email *
Your first name *
Your last name *
Your phone number (also for Whatsapp) *
Where do you live? *
Where do you currently work? *
Required
Let's talk about your offerings
If you offer different modalities (for example: breath work, health coaching, and yin yoga) to our community, please separate them. This form allows you to enter up to three relevant modalities. 
Modality 1 - What is your professional title? (e.g. breath work facilitator) *
Modality 1 -  What is your offering? (please keep it very brief, example: breath work sessions) *
Modality 2 - What is your professional title?  *
Modality 2 -   What is your offering?
Modality 3 - What is your professional title? 
Modality 3 -  What is your offering?
What kind of sessions do you offer? *
Required
List your relevant degree(s) or certification(s) *
How would you describe your experience level in quantifiable terms? (e.g. number of clients treated, number of sessions provided)  *
What is the mission you carry out through your work? Try to outline this in 1-2 sentences.  *
If you are comfortable sharing, is there anything in your personal history that significantly contributed to your work and mission? *
List the most common (mental) health goals of your clients? (e.g. gut-health, hormone balance, anxiety)  *
Almost there! Where can we learn more about you?
Website / Blog *
Linkedin profile

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Instagram or TikTok handle *
A copy of your responses will be emailed to the address you provided.
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