Name

First Name

Last Name

Please list your Job Title/Credentials

A brief bio about you & your mission! (share whatever you'd like here)

Is there a certain area/niche you like to speak about and/or is there anything you are considered an expert in regarding mental health?

How do you currently help other's with things regarding Mental Health?

Please provide any informational or promotional links here (website, social media, etc.)

I will email an image of myself to amandamarie@wickedsmahtwellness.vip after I submit this survey

I will remember to do this!!!

Thank you so much for signing up to be a member on this panel. Please remember to send a high resolution image of yourself to amandamarie@wickedsmahtwellness.vip for promotional purposes. Looking forward to chatting with you! Love & Good Vibes, Amanda Marie

Stay Wicked Updated