Ink Your Liberation Writer's Retreat

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We're delighted you’ll be joining us for the Ink Your Liberation Writer's Retreat on Sep 21, 2024 from 9 a.m.- 4 p.m. at The Creator's Nest in Detroit, Michigan. The day will be facilitated by our founder Demarra West and author of Me Too: A Therapist’s Journey to Heal, Find Liberation, & Joy.

We have a beautiful day planned to help you connect more to your inner world so you can better express yourself to the outer world. As our founder says, "your voice is the most important thing you have to get what you want in the world."

This form is confidential and will be used to provide an optimal experience for you. Once you submit the form we will follow up with an invoice based on the payment arrangements selected. Please note your payment secures your spot and will be expected within 24 hours.

If you have any questions please don't hesitate to contact jem@bewellbeautifulpeople.org.

We can't wait to be with you!

Be Well Beautiful People Team

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Name *

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Organization

Why do you want to attend this retreat?
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What do you hope to get out of the experience?
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Have you ever attended a writer's retreat before?
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Yes

If so, what did you like, dislike about the retreat(s) you've attended?
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Current Mental Health Status
Please describe your current mental health status: *

I am currently in good mental health.

I am experiencing mild mental health challenges (e.g., stress, anxiety).

I am experiencing moderate mental health challenges (e.g., ongoing anxiety, depression).

I am experiencing severe mental health challenges (e.g., significant depression, severe anxiety).

I prefer not to disclose.

Are you currently receiving support for your mental health? (Please answer if applicable)

I am actively receiving mental health support (e.g., therapy, counseling, medication).

I have previously received mental health support but am not currently engaged in any treatment.

I am seeking mental health support but am not currently receiving it.

I am not currently seeking or receiving any mental health support.

I prefer not to disclose.

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Do you have dietary needs? (select all that apply)
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No dietary needs

Vegetarian

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Gluten Free

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In terms of paying for the retreat, I plan to:
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Pay the $450 in full via Cashapp/Checke/Credit card payment

Have my employer sponsor me (please provide details in other)

Other:

Is there anything you feel we should know about you before we have an opportunity to meet you in person? Please note this and all answers you provide are confidential.

A copy of your responses will be emailed to the address you provided.

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