Sanctum Wellness Practitioner Questionaire

Sanctum Wellness at Tortoise Lodge is a growing practitioner cohort that promotes wellness, natural homeostasis and healing through facilitation. Through a varied cohort of practitioners and modalities, Sanctum offers the power of individualized encounters with healing or restorative impulses grounded in Truth, Beauty & Goodness. Sanctum also values fair access to wellness and self care for children, families, educators, and related professions through discounted fees and reciprocal economics.

Please read and consider each question on this form thoroughly. This will ensure mutual understanding of all guidelines and requirements for joining the Sanctum cohort of practitioners, sharing a space of healing at Tortoise Lodge, and becoming a part of the Sanctum Wellness impulse.

We are delighted to consider you as a part of our practitioner cohort!

Name

First Name

Last Name

Please describe your practices, modalities and work in detail.

Where did you receive training? Please describe any professional training or licensing, or informal/workshop training that informs your work.

Please describe how you view the relationship between the client and practitioner.

Would you like to share anything else about yourself o, your practice, or interest in Sanctum?

Do you utilize any substances - such as herbs, essential oils, teas, decoctions, etc in your work? If so elaborate. ***Please also note that Sanctum Wellness and Tortoise Lodge are alcohol, psychotropic and intoxicant free spaces.

How often do you see clients, and how often do you envision utilizing the space at Tortoise Lodge?

Will you be bringing your own supplies - linens, equipment, table, etc or, are you interested in utilizing or leasing these from Sanctum Wellness?

As a sanctuary of restoration, wellness and respite, Tortoise Lodge is an intentionally WiFi free, tech-minimal environment. Most cell carriers do not cover the area. Does this align with or present a problem for your practice or modalities?

We believe that dialogue based, relational solutions are essential in order to maintain and uphold the established guidelines and culture of Sanctum as a healing impulse. Sanctum Wellness reserves the right to require a dialogue with you to clarify practices, procedures, or guidelines, to review or dissolve your participation and membership, or to inquire about your status or modalities as a practitioner.