Society for Social Health & Well-Being
Please tell us more about yourself so we can best determine your fit to be part of the society and future gatherings.

Email *
Name *
City, State, Country *
What brings you to the Society of Social Health?
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What's your relation to the emerging Social Wellness space ? Social Wellness as seen in loneliness, disconnection, isolation, depression, self-awareness... *
If Coming for Personal Support, What is your most pressing challenge to date? Use "Other" if a representing an organization  *
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For Personal Inquiries, How Best Would You Describe Your Life Stage? *
Required
Do you want to have an initial 20 minute introductory call to learn more and see if the re is a fit>?  *
Anything else you'd like to tell us about yourself, your interest or dreams and aspirations?
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