Please fill out the form to complete your Reset registration. 

Location for Workshop *
Location for Workshop
Contact *
Contact
Alternate Contact Name *
Alternate Contact Name
In your own words, please describe what has led to requesting a Reset workshop. This can include information about the workplace/classroom environment, stress, symptoms or complaints by employees/students, etc. Please paint a picture as best you can.
Has it affected productivity, focus, team camaraderie, happiness ... ?
What are the goals for your Reset workshop and Self-Tuning Kit? *
Please check all that apply.
Other Goals