Hire Me In Your Space Inquiry Form

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Company Information

Company Name

Contact Person First Name

Contact Person Last Name

Job Title

Email Address

Mobile Number

Event Details

1. What type of offering are you interested in? (Check all that apply)

Sound Bath

Guided Meditation

Breathwork

Yoga / Gentle Movement

Ongoing Wellness Series

One-time event

2. Is this session for:

Internal team wellness

Corporate event

Retreat or offsite

Conference or panel

Client or partner event

3. Estimated number of participants

4. Preferred session length

20-30 minutes

45 minutes

60 minutes

Open to recommendation

Location

1. What is your preferred format?

In-person

Virtual

Hybrid

2. Event location (city + venue or Zoom)

Goals

1. What is the primary goal of this session?

2. Have you offered wellness programming before?

Yes

Occasionally

Timing & Budget

1. Preferred date or timeframe

mm-dd-yyyy

2. Preferred time of day

Morning

Afternoon

Evening

Flexible

3. Do you have a budget range allocated?

Yes

Not yet

Open to proposal

Anything else we should know about your team, culture, or needs?

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Thank you for your interest. I’ll review your inquiry and follow up with next steps and availability.