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A.R.T. Wellspring — Inquiry Form
Thank you for your interest in contributing to the development of the A.R.T. Wellspring pilot program. All of the questions below are optional, and meant to help us build community and develop the Wellspring program in partnership with our audience and community.
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Your Name
Your answer
Your email address
Your answer
Please select all with which you identify.
I'm interested in being a participant in future Wellspring workshops and events.
I'm an artist and/or facilitator interested in creating a Wellspring experience in collaboration with A.R.T.
I'm a health care provider interested in collaborating on the Wellspring program as a thought partner, researcher, or co-facilitator
There is a health and wellness need in a community I am a part of that I would like to see addressed by Wellspring programming.
Other:
If you'd like to elaborate on any of your selections above, please do so here.
Use this space to specify your practice, interests, and/or ideas for future Wellspring programming (workshops, conversations, artistic projects, etc.).
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If you would like to share a website or other link to your work, please do so here.
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Would you like to receive updates about the development of programs like the Wellspring?
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No
Other:
Would you be open to a member of A.R.T. staff reaching out to you for questions or conversation about your responses in this survey?
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Yes
No
Other:
Anything else we should know?
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