Intake form

Name *

Email address *

What type of writing are you interested in?

Please select at least one option.

Poetry

Prose

Reflections

What themes resonate with you?

Please select at least one option.

Love

Resilience

Dreams

Nature

Personal Growth

Human Experience

What is your preferred style of writing?

How did you hear about my emotional pen?

What is your primary goal for engaging with my emotional pen?

Please select at least one option.

To share my own writing

To read and reflect on others' works

To find inspiration

To connect with a community of writers

Would you like to participate in writing workshops?

Additional questions or comments

My Emotional Pen