Mindset Reset (MSR) Mindful Business Owners Collective Application
The Mindful Business Owners Collective small group program focuses on exploring an individual’s mindset and wellness practices to navigate troublesome experiences in and out of business. It comprises a small cohort of business owners that runs for six weeks virtually, with approximately 90 minutes per session.
Join a supportive community of like-minded individuals who are focused on prioritizing their health to balance their work and personal lives.
First Name
Middle Initial
Last Name
Home Street Address
Apt./Suite/Unit Number
Home City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code
What is the best phone number to reach you at?
What type of phone number is this?
Please select...
Work
Mobile
Home
What is your preferred email address
What type of email is this?
Please select...
Personal
Work
Gender
Please select...
Man
Woman
Non-binary or identify in another way
Prefer not to answer
Race/Ethnicity
Please select...
African (Oromo)
African (Other)
African (Somali)
African American
Asian (Hmong)
Asian (Other)
Caucasian
Indigenous
Latinx
Other
What is your household size?
What is your annual household income?
Legal Business Name as registered with the Minnesota Secretary of State's Office (SOS):
Doing Business As (DBA)
Type of Business?
Please select...
Construction
Manufacturing
Restaurant/Catering
Retail
Service
Specialty Food Production
Other
Business Street Address
Business City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code
Business phone number
Business email address
Are there more than one owners?
Please select...
Yes
No
What stage is your business in?
Please select...
Planning - I'm in the process of developing my idea.
Start-up - My business has been operating between 1-12 months.
Existing - My business has been operating for 1+ years.
Please help us understand what kind of product(s) or service(s) you provide:
Why are you interested in attending the Mindful Business Owners Collective? (You may select more than one)
Please select...
Bring awareness and identify what’s holding you back
Build a self-care toolkit to manage the mindset blocks and stress
Create new connections and support with other entrepreneurs
Learn techniques to solve business challenges
Other (You will be able to type your own response)
Please enter your own response to the previous question here:
What are the biggest challenges in your business right now?
Is running your business currently a part-time or full-time venture for you?
Please select...
I run my business full time (40+ hours per week)
I run my business part time (20+ hours per week)
I run my business less than part time (0-19 hours per week)
Do you have the tools and support needed to manage the stress of running your business? Please choose the response that most closely matches how you are feeling.
Please select...
Not at all
I have a couple tools and resources to help manage stress
I have some tools and resources to help manage stress
I have a lot of tools and resources to help manage stress
I have everything I need to manage stress
How isolated do you feel running your business? Please choose the response that most closely matches how you are feeling.
Please select...
I feel alone and overwhelmed
I often feel overwhelmed, but not always
Sometimes I feel connected and supported, but I need more
I usually feel connected and supported
I have a big network of support
I agree to show up, participate, and maintain confidentiality.
Yes
No
Contact Information