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The Playbook: The Comprehensive Guide for Working with Couples - Booking Form
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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
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
Are you currently working with couples or have you previously?
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Yes
No
If yes, 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
Not applicable
What do you hope to achieve from The Playbook?
Your answer
Why do you feel now is the right time to sign up to this course?
Your answer
Have you been on any other training courses relating to 'how to work with couples'?
Yes
No
Other:
If yes, what did you gain? What were your key takeaways?
Your answer
What, if anything, was missing from the course? What did you feel you needed more or less of?
Your answer
What area of couples work do you want to gain more confidence in? (Please tick all that apply)
Assessment
Giving Homework
Boundaries
Ethical Dilemmas
Dealing with Conflict
Dealing with Affairs
Talking about Sex
Increasing Intimacy within the couple
Holding both equally
Supervision (Having adequate support)
Knowing how to fit couples into your practice
The business side: What to charge/ When to charge etc
Other:
Lottie is happy to consider tailoring parts of the course to areas that you may be struggling with. With this in mind, is there anything you would like added or focused on, to ensure you get the very best experience?
Your answer
How will you be looking to pay?
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Pay in full
Already paid in full
Other:
If you are only looking to go on one or two modules, please state which ones below.
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Your answer
Are you happy to receive news and updates from Lottie in the future?
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Yes, please
No, thank you
For GDPR reasons, are happy to be emailed and/ or added to 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
Where did you hear about The Playbook?
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Search Engine
Facebook
Instagram
LinkedIn
A friend or colleague (Please state who in 'Other')
Other:
Thank you for taking the time to fill this in :)
Looking forward to seeing you soon!
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