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ROOTED Consulting Inquiry Form

Thank you for your interest in Rooted Wellness Solutions. Tell us a little about your church or organization and the support you’re seeking. This form takes approximately 3–5 minutes.

Please describe organizational needs without including names or identifying information about members, employees, students, or clients.

Your Name

*

Email address

*

Church or Organization name

*

Your role or title

*

Where is your organization located? City, state/province, and country

*

What support are you interested in? [Select all that apply]

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Church or ministry mental-health training

Organizational mental wellness or trauma-informed practices

Curriculum or program development

Unsure-I'd like help identifying the right service

Other

Who would participate, and approximately how many people?

*

When would you like the work to begin?

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A

Within one month

B

Within 1-3 months

C

Within 3-6 months

D

Exploring options; no date yet

What budget has been allocated?

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A

Under $3500

B

$3500-$5000

C

Over $5,000

D

Budge has not been determined

What is your role in approving this project?

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A

I can approve the project and budget

B

I share approval with others

C

I am gathering information for the decision-maker

Anything else you would like us to know?

*

Untitled checkboxes field

I understand this inquiry is for organizational consulting, education, or training. Individual coaching and psychotherapy require separate arrangements.