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Self-Care Challenge Registration Form

July 15-19, 2024

What are your main goals for joining the Self-Care Challenge? (Please select all that apply)
On a scale of 1-10, how would you rate your current level of stress? (1 being the lowest, 10 being the highest)
1-2
3-4
5-6
7-8
9-10
What specific areas of self-care are you most interested in exploring during this challenge?
Consent to Follow-Up
Yes, I agree to be contacted after the challenge for feedback on my progress towards my goals.
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