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Community Connection & Collaboration Template 👋🏻
Networking gets a lot easier when you have somewhere to send people after the conversation. Use this customizable form to learn what other professionals and businesses do, what referrals they’re looking for, and whether there might be ways to support each other.
Share it after a networking event, through your website, or when someone says, “We should connect sometime!” The goal is to learn who is in your community and how you might work together, rather than collect another stack of business cards you never look at again.
What’s Included
📝 Community Connection & Collaboration Form · Google Form
One adaptable questionnaire for gathering information from therapists, businesses, organizations, and other helping professionals. Use the responses to explore referral connections, shared interests, and possible collaborations.
🎨 Canva Google Form Header Template
A header layout you can brand for your practice so the form feels like part of your business.
Perfect For
✔ Solo Private Practice Owners
✔ Group Private Practice Owners
✔ Therapists and Counselors
✔ Social Workers
✔ Practice Owners Building Referral and Community Connections
✔ Therapist Entrepreneurs
Template Formats
📝 Google Form Template
A fully adaptable form that gives you a foundation for what to ask and the information you may need to get started. Use it as a reference, change the wording, add or remove questions to fit your practice, and add your branding using the Canva Header template. Step-by-step instructions are provided to help you put it to use. This template works best with your professional Google Workspace account.
🎨 Canva Google Form Header Template
An editable template you can use to design a branded header for your Google Form, with the sizing already done for you. Add your logo, change the colors, fonts, text, and images, and make it look like it belongs to your practice. Step-by-step instructions are provided to help you access and customize the template.
✍🏻 Before You Use It
Collecting a response does not establish a formal partnership, referral agreement, or endorsement. Use your own professional judgment when deciding which connections and services to recommend.
📦 Purchase Details
This is a digital product. No physical items will be shipped. Your download will contain the resource itself or a PDF with links to the included resources. Check the “What’s Included” section above for the specific files and templates included with your purchase.
Due to the digital nature of this product, all sales are final. No refunds or credits are available. If you have trouble accessing your resources, please reach out so I can help.
😎 About Becca
👋🏻 If you’re new here, hey there! I’m Becca, a Licensed Professional Counselor in Arkansas and the person behind The Shop by Authenticity with Becca. I create resources for therapists and practice owners using the things I’ve researched, tested, rebuilt, and figured out the hard way.
I’m a therapist, but purchasing a resource doesn’t make me your therapist, clinical supervisor, or legal advisor. These resources are for education and practical support. They aren’t a substitute for therapy, legal advice, or clinical supervision, and you’ll need to review and adapt them for your work and any applicable requirements.
Want to explore more resources, learn about coaching, listen to Professionally Messy, or find my other shenanigans? → 🔗 Visit Authenticity With Becca
Networking gets a lot easier when you have somewhere to send people after the conversation. Use this customizable form to learn what other professionals and businesses do, what referrals they’re looking for, and whether there might be ways to support each other.
Share it after a networking event, through your website, or when someone says, “We should connect sometime!” The goal is to learn who is in your community and how you might work together, rather than collect another stack of business cards you never look at again.
What’s Included
📝 Community Connection & Collaboration Form · Google Form
One adaptable questionnaire for gathering information from therapists, businesses, organizations, and other helping professionals. Use the responses to explore referral connections, shared interests, and possible collaborations.
🎨 Canva Google Form Header Template
A header layout you can brand for your practice so the form feels like part of your business.
Perfect For
✔ Solo Private Practice Owners
✔ Group Private Practice Owners
✔ Therapists and Counselors
✔ Social Workers
✔ Practice Owners Building Referral and Community Connections
✔ Therapist Entrepreneurs
Template Formats
📝 Google Form Template
A fully adaptable form that gives you a foundation for what to ask and the information you may need to get started. Use it as a reference, change the wording, add or remove questions to fit your practice, and add your branding using the Canva Header template. Step-by-step instructions are provided to help you put it to use. This template works best with your professional Google Workspace account.
🎨 Canva Google Form Header Template
An editable template you can use to design a branded header for your Google Form, with the sizing already done for you. Add your logo, change the colors, fonts, text, and images, and make it look like it belongs to your practice. Step-by-step instructions are provided to help you access and customize the template.
✍🏻 Before You Use It
Collecting a response does not establish a formal partnership, referral agreement, or endorsement. Use your own professional judgment when deciding which connections and services to recommend.
📦 Purchase Details
This is a digital product. No physical items will be shipped. Your download will contain the resource itself or a PDF with links to the included resources. Check the “What’s Included” section above for the specific files and templates included with your purchase.
Due to the digital nature of this product, all sales are final. No refunds or credits are available. If you have trouble accessing your resources, please reach out so I can help.
😎 About Becca
👋🏻 If you’re new here, hey there! I’m Becca, a Licensed Professional Counselor in Arkansas and the person behind The Shop by Authenticity with Becca. I create resources for therapists and practice owners using the things I’ve researched, tested, rebuilt, and figured out the hard way.
I’m a therapist, but purchasing a resource doesn’t make me your therapist, clinical supervisor, or legal advisor. These resources are for education and practical support. They aren’t a substitute for therapy, legal advice, or clinical supervision, and you’ll need to review and adapt them for your work and any applicable requirements.
Want to explore more resources, learn about coaching, listen to Professionally Messy, or find my other shenanigans? → 🔗 Visit Authenticity With Becca