Welcome!
Creative Arts Therapy & Integrative Care (CREARTH)
crearthcare.com | crearth.care@gmail.com 


Creative Arts in Health & Healing


Hello & Welcome!
Thank you for joining the CREARTH Creative Arts in Health & Healing community. We hope your creative arts journey will be a transformative experience.

The questions on this form help us to get to know you and what you might be looking for through CREARTH and the creative arts. Your responses also help us to make sure that your specific arts areas of interest will be focused on during creative arts sessions.

Looking forward to sharing and creating art together!


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Email *
Name *
Phone number *
Alternate phone number
What brings you here? *
Do you have any training or experience in the creative arts? *
(Training in the arts is NOT a requirement!)
What creative arts areas are you interested in including as special areas of focus for sessions? *
Select as few or as many as you'd like
Required
What are your hopes for your creative arts practice in your life? *
Please select any of the items from the list below that you feel might be applicable to you *
Required
How did you hear about CREARTH and our Creative Arts for Health & Healing? *
What country are you in? *
What state are you in (if in the USA)? *
Completing this form *
Write your name and the time and the date that you finished filling out this form in the spaces below. Providing your name as well as the date and the time you completed this form acknowledges that you: (1) have read and understood each individual question and the sections of this form, and the information requested and/or provided; (2) have been given ample opportunity to ask any and all questions you may have; (3) have provided information that is accurate and correct to the best of your knowledge; and (4) that you are the person completing this form.
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Please sign/type your full name in the space below to complete this form. Thank you! ---Creative Arts Therapy & Integrative Care (CREARTH) *
A copy of your responses will be emailed to the address you provided.
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