The Human Connection: Connection Choreography Form

The Human Connection: Connection Choreography Form

Thank you for connecting with us and filling out our onboarding form. This form helps us learn more about you so that we can match you with the right Connection Choreographers and provide the best Connection Choreography(TM) to crush your goals with ease and joy.
Personal Information
Name

First NameLast Name
Address (*somewhere you can receive packages)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Birthday (so we can celebrate you :))

MonthDayYear
Date
Please upload your photo (for website and other highlights)

Cancelof

Creative-living and Gig Information

Let us know more about what you love to do.
What do you love to do? Which of them would you love to generate revenue for you? (* those that you’d like or already generate income for you)
What do you do full time?
If any, what are the purpose driven work/activities you engage in? Or what topics are you passionate about?
What Role/Title (e.g., filmmaker, designer, etc) speaks to you the most
Industries/focus areas you are interested in working with
Please list roles/jobs you’re currently open to receiving along with your rates. (E.g., videographer 100/hr, therapist $150/hr, consultant…)
For gigs that THC connects you with, which percentage feels comfortable to give toward THC and sustaining the ecosystem?

5%10%20%30%
Social handles or link tree
Website/Portfolio/Links to prior work
Previous media mentions

What's your love language?
What are the top 3 goals you’re working on right now that you want to target with your connection choreographer?
For non-new folks: what progress have you made since the last assessment? or what connection choreography have you benefitted from in the past?
We know that your personal evolution is an investment and we want to align with your monthly budget. Please check the box that best fits with your availability to invest in yourself on a monthly basis.

$0 - $50$50 - $250$250 - $500$500 - $1000$1000
Thank you so much for your time! We’re so excited to co-create with you! How was your experience filling out this form?

It was a lotIt was helpful for meFeels empoweringGot me excited!
Should be Empty:

	Not at all	Several days	More than half the days	Nearly everyday
Little interest or pleasure in doing things.
Feeling down, depressed, or hopeless.
Trouble falling or staying asleep, or sleeping too much.
Feeling tired or having little energy.
Poor appetite or overeating.
Feeling bad about yourself - or that you are a failure or have let yourself or your family down.
Trouble concentrating on things, such as reading the newspaper or watching television.
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.
Thoughts that you would be better off dead, or of hurting yourself in some way.

	Not at all	Several days	Over half the days	Nearly everyday
Feeling nervous, anxious, or on edge.
Not being able to stop or control worrying.
Worrying too much about different things.
Trouble relaxing.
Being so restless that it's hard to sit still.
Becoming easily annoyed or irritable.
Feeling afraid as if something awful might happen.

Personal Information