Build Your Bridge to 2021
This Ritual is designed to help you reflect and receive closure on 2020 and set new intentions for 2021, while giving me feedback about how to best serve the Cultivating Empathy Community in the New Year.

TIP: If you are unable to complete in one sitting, feel free to click "submit" which will save your answers. As long as you come back and use the same email address, you will be able to finish filling out the form a later date.

As a thank you, you'll receive a copy of your responses as well as the option to book a FREE 60 minute coaching session with me to further discuss anything in this reflection process. (Please note, to take advantage of the FREE coaching offer, I request that you fully answer this entire survey. )

Thank you so much for taking part.

~ Natalie, Founder, Cultivating Empathy Coaching (
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Email *
Your Name
Your Pronouns
What Generation do you Identify With? (ie. Gen X, Millenial, etc.)
Which of the following describe your current career? (Select as many as apply.)
If you own a business, what kind of business do you run?
If you are an artist, what kind of art do you create and/or collaborate in?
What is your mission in life, art, and or business?
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