First Name *

Last Name *

Email *

Date of birth

What pronouns do you use?

What program(s) are you interested in:

Program Year

Are you able to attend the group meeting dates? Note they are: April 1 - May 20. *

Are you currently working with a therapist? *

Wha do you like about working in group settings? *

What are your goals / intentions for joining this 8 week support group? *

Do you have experience with mindfulness practice? If so, how would you describe your mindfulness practice? *

Are there any specific topics / aspects of ADHD or mindfulness that you’d like to learn more about?

Do you have any questions about the group or the facilitator, Tasha?

How did you learn about this program?

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Click continue unless you're interested in joining one of the following programs. If so, please use the appropriate booking link:

SNTI Programs-Lisa https://www.somaticnaturetherapy.com/book-with-lisa
Courting Your Medicine: Rites of Passage for Healers (3-Month Program), or Courting Your Medicine (Mentorship)– Melody – https://www.somaticnaturetherapy.com/book-with-melody
Ceremony & Rites of Passage Global Training – Haaweatea –https://docs.google.com/forms/d/e/1FAIpQLSf3-jlg7GqI-XADapABk8x9tP2GazqE1wt1FA5XGQLWWLc7FQ/viewform?pli=1