Home Therapy Workshop Questionnaire
Please take a few moments to complete the form below for a better understanding of your goals with the workshop!

Have fun telling me about your wants and needs! I would like to take full advantage of the time we share together and your input is essential. Thank you for your cooperation :)
Email address *
Your name *
Ownership of the space *
What type of home is it? *
How long have you lived in your home and how long do you plan to live there?
Please select the room you would like to bring to class. *
What kind of enhancements are you considering? *
What is your goal with this workshop? *
A copy of your responses will be emailed to the address you provided.
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