Therapy enquiry

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Therapy enquiry

Information about resources can be found here: https://wildandwellbeing.com/resources-1

Email *

Name *

Age *

Are you waiting for *

Psychotherapy/ psychotherapeutic counselling

yoga therapy

ecotherapy

a mixture of those

Other:

Required

If you are filling this form in on behalf of a child, are you

Birth parent

Adopted parent

Foster parent

Other caregiver

From an organisation

Other:

Clear selection

Are you looking for sessions:

online

in-person Kendal indoors

in-person Staveley indoors

in-person Staveley outdoors

in-person Lancaster (these tend to be much more limited)

Are you looking for

Short term (6 months or less)

Longer term (more than 6 months)

Clear selection

Briefly describe what you hope to gain from therapy *

I operate a fee sliding scale. Please check the website to find out about the sliding scale and see whether sessions which match the fee band you fall into are currently available: https://wildandwellbeing.com/fees
To ensure the financial sustainability of therapy, it useful to confirm that the current sessions I have available match the fee band you fall into. *

Band A

Band B

Band C

Concession (no current availability)

Activist Yoga Therapy

I am not currently available to work with certain experiences and client groups:
- I do not work with people who are already working with another counsellor or psychotherapist - I am not currently working with perpetrators of sexual violence and/ or domestic violence. If you are a perpetrator of sexual violence and wish to change your thoughts/ behaviour around this, you may find this resource helpful

- If a member of your family is currently working with me, or has previously worked with me, I will not be able to work with you therapeutically

None of the exemptions apply to me

I need further clarification

Clear selection

Please feel free to tell me about any access needs you would like me to know about at this stage (if we start working together, there will also be another opportunity to share this later)

Please feel free to share anything about how you would like to be referred to (e.g. name, pronouns, title) that you would like to share at this stage (if we start working together, there will also be another opportunity to share this later)

I have very limited availability and will make clear what slots I have available currently before booking an initial consultation. Most slots will be during the daytime on weekdays and are most effective if there is a regular time and day each week. It can be useful to consider you're availability for this. I do not keep a waiting list. If the day and times I can offer do not fit, you can choose to find another therapist or get back in touch with me at a later date to check my availability. If you have limited availability and will only consider sessions, certain days and times, please let me know when you are currently available?

9.30- 10.30am

10.30-11.30am

12.30-1.30pm

1.30-2.30pm

2.30-3.30pm

3.30-4.30pm

4.30-5.30pm

5.30-6.30pm

Monday (Kendal and online)

Tuesday (Staveley and online)

Wednesday (Kendal and online)

Thursday (Staveley and online)

Friday (Lancaster)

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