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OpenText - Mindful Hub
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Intake form
Help us serve you better
Name
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Email address
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What is your profession?
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Nurse
Doctor
Therapist
Pharmacist
Support Staff
What type of support are you seeking?
Please select at least one option.
Peer Support
Mental Health Resources
Stress Management
Work-Life Balance
Cultural Sensitivity Training
What challenges are you currently facing in your role?
How did you hear about OpenText - mindful hub?
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Referral
Social Media
Website
Event
What are your preferred methods of communication?
Please select at least one option.
Email
Phone Call
Video Conference
In-Person Meeting
Do you have any specific cultural considerations that we should be aware of?
What is your current level of stress at work?
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Low
Moderate
High
Very High
What resources would you like to see offered on the platform?
Additional questions or comments
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