Himalayan Happiness Project - May 2024
Hi.

This form helps us get to know you better. It is not an evaluation. 

Please share a little bit about yourself. Your responses will be kept strictly confidential.
Sign in to Google to save your progress. Learn more
Email *
Name *
Age & Gender *
What do you find interesting in this workshop?  *
What do you hope to achieve or change by attending this workshop?
Are there any specific issues, problems or mental health conditions that you are dealing with right now?  *
Is there anything else that you think is important for us to know about you?
If you are interested in this workshop,  we would like to schedule a brief call (usually 10 minutes) for you with Dr. Dubey. Should we contact you to schedule a call?  *
If yes, please share your Phone number
How did you find out about this workshop?
*
Thank you for sharing your details with us! We'll be in touch within one working day.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Himalayan Writing Retreat. Report Abuse