Name
*
First Name
Last Name
Age
*
Email
*
Parents/Guardian Name(s) (if under 18):
First Name
Last Name
Preferred Pronouns
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Ideal Day for Companioning Sessions
*
Ideal Time(s) for Companioning Sessions
*
Do you live on Cape Cod?
*
If you live on Cape seasonally, when and how long will you be here?
If just visiting, how long are you here for?
Ideal Location for Sessions
*
I'd like to meet at the following location or use following virtual platform:
Spiritual Community (if any)
*
Please tell me about your background (family, work, community, hobbies, etc.)
*
Please share your experience and exploration with Spirit
*
Interests in Working with Movement by Logan
Choose as many as you'd like
Do you have any established Spiritual, Mindfulness, or Health practices?
*
Have you had any previous experience of the service(s) you are seeking (spiritual direction or group companioning or supervision)? If so, what was helpful to you?
What are you seeking through Spiritual Companioning at this time? (It's ok to not know)
*
Anything else you'd like to share:
How did you hear about Movement With?
