CARE for creatives interest form.
if you've landed here, it probably means you get it.  I'm looking forward to partnering with you to shift the standard of care for cast and crew by offering on-set wellbeing services.  you're invited to complete the form below and I'll be in touch to explore meaningful partnership.  -- dr shena. 
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today's date *
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name  *
email *
preferred phone # *
tell me a bit about who you are, your role, and what you're working on *
please choose what's true below (multiple selections are permitted):  *
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how did you find about me + my work?
you're invited to briefly share anything else that might be helpful.  
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