Finding Safety Within: Body Awareness Group for Inner Healing
Access your core emotional world and inner self by getting in touch with the creative emotional self,  establishing and reconnecting with safety within your inner selves through the use of metaphor, personal symbolism, and somatic art therapy interventions.

This group is set to meet for 8 weeks consecutively on Wednesdays from 5:30 to 7pm EST, starting Wednesday May 25th. The group will meet online via a secure video conference platform. A commitment to all 8 sessions is required in order to join the group, and payment is collected in advance unless other arrangements have been agreed upon prior to the start of the group.

Fees: $800 for 8 sessions, sliding scale options available based on income and need. If you have out of network benefits with your insurance and would like to submit a superbill to your provider to seek reimbursement, superbills will be made available.
Email *
Name *
What are your pronouns? *
What is the best way to contact you? (E-mail/Phone Number) *
What are you hoping to achieve from this group/ what brings you to the group? *
About Sliding Scale Availability
The image below of  “The Green Bottle”, an economic justice tool created by Alexis J. Cunningfolk, may give you clarity on what financial access and capacity you have.

The full value of the service provided is at full fee of $100 per group for 8 weeks, and sliding scale is made available in order to increase accessibility of the group to people who may not be able to attend otherwise. Please consider your financial access and your financial need, and only inquire about sliding scale if you would not otherwise be able to attend the group at full cost.


*Basic Needs include food, housing and transportation
*Expendable Income may mean you are able to buy coffee or tea at a shop, go to the movies or a concert, buy new clothes, books and similar items each month etc.
The Green Bottle: Where You Fall on Sliding Scale
Bottle 1 Accessibility - Please check off all that applies.
Bottle 2 Accessibility: Please check off all that applies
Bottle 3  Accessibility: Please check off all that applies
Are you interested in learning more about sliding scale? Please read statement above regarding sliding scale and accessibility. *
Required
Thank you for taking the time to fill out this survey!
Leila or Irene will reach out to you shortly to arrange a phone or video consultation to learn more about you and make sure that this group would be a good fit for you.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Enodia Therapies. Report Abuse