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Booking Form - Couples Group Supervision
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Email
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Your email
Full Name
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Your answer
Email
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Your answer
Address
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Your answer
Phone number
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Your answer
What qualifications do you hold?
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Your answer
What is your chosen orientation? (For example, Person Centred, CBT, Psychodynamic...)
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Your answer
How long have you been working with couples?
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Less than 6 months
Between 1 - 2 years
Between 3 - 4 years
5+ years
What do you hope to get from these group sessions?
Your answer
How will you be looking to pay?
Pay in full (£360)
Pay in 2 instalments (£190)
Already paid in full
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Are you happy to receive news and updates from me in the future?
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Yes, please
No, thank you
For GDPR reasons, are happy for us to email you and/ or WhatsApp you as part of the group (as opposed to Bcc)?
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Yes, no problem
No thank you, I'd rather not
Thank you for taking the time to fill this in :)
Looking forward to seeing you in the group sessions!
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