First Name *

Last Name *

Email *

Phone *

Organization *

1. Which of the following topics are you most interested in learning about? *

A) Energetic Exchange in the Treatment Room

B) Business & Practice Management

C) Mindset & Practitioner Presence

D) Patient Communication & Boundaries

E) Practitioner Wellness

F) Clinical Flow & Efficiency

Other interest

2.What is your primary goal when attending this presentation? *

A) Gain new clinical or energetic insights

B) Improve business or operational systems

C) Strengthen confidence or mindset mammals.

D) Increase patient satisfaction and outcomes

E) Feel more grounded, supported, or connected as a practitioner

F) Learn practical tools that can be applied immediately

Other goals

3.Which best describes your current role in the field? *

A) Licensed Acupuncture Practitioner

B) Clinic Owner

C) Associate / Staff Acupuncturist

D) Student or Recently Licensed Practitioner

E) Educator or Supervisor

F) Board Member or Administrator

Other Role

Are there any other elements you would love us to explore together?