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Authentic Healing Group
This form is only 10 questions (including contact info) so please take your time with it.
Contact me directly with questions or thoughts.
Email:
elizabeth@originforces.com
Text: 323.553.0013
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Email
*
Your email
Your Name
Your answer
Phone - for text updates on this group
Your answer
Your address, we will work through a few workbooks I will be mailing to you.
Your answer
How did you hear about our Authentic Womens Group?
Your answer
How has this time in the pandemic been for you, in summary?
Your answer
What kind of supports are you most needing at the moment?
Your answer
Is Monday (1-3 PST) or Wednesday (5-7 PST) better for you? need a different time?
Monday afternoon
Wednesday evening
Different time only
Other:
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If you needed another time, do not fret, we will be opening other groups soon. What time would work best for you? Can we call you to talk about times?
Your answer
Is there anything more that you would want me to understand about you before joining the group? Trauma's you have been through, your current situation, or what you really are needing....Please share openly, this is for my eyes only.
Your answer
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