A workshop information request form should do more than collect contact details. For authentic movement therapy, it should help you understand each person's experience with somatic practices, what they hope to explore, and which workshop formats feel most supportive for where they are right now.
This template is built for that intake process. It includes essential fields such as name, email, phone, and location, then moves into more specific questions about prior experience, related practices like yoga or somatic experiencing, therapeutic or personal goals, and preferred workshop length and delivery format.
Because the questions are tailored to authentic movement and embodiment work, submissions are easier to review and respond to thoughtfully. You can use the answers to recommend appropriate introductory sessions, intensives, retreats, or ongoing series, while also sharing the most relevant materials such as schedules, pricing, facilitator bios, and preparation guidance.