Application for Healing Intensive
The Wellness Buff, LLC  //  www.wellnessbuff.org  //  hello@wellnessbuff.org

This application will help me to determine your readiness and dedication to engaging in a healing intensive. Healing intensives are for individuals or couples ready to take a deep dive into their issue at hand, or ready to actively engage in experiential learning to best have coping skills and practices to take back into day to day life. Upon completion of application, we will schedule a 15-minute discovery call if you are a good candidate for the program to go over the process, payment plans, etc..

Thank you for choosing your health + wellness, and making the next step in your journey to living well and feeling whole.
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Email *
Name (or names if Couple): *
How did you Hear about the Healing Intensives? *
Have you done any sort of counseling/coaching/therapy before? *
If you have, please describe what you did, and how long of a time you were engaged in that service for:
Please List for me your top 3 issues you'd like to address/work on during your healing intensive time: *
If you've done therapy/counseling/coaching before, what worked well for you? *
If you've done therapy/counseling/coaching before, what DID NOT work well for you? *
Why are you seeking to engage in a healing intensive? *
What do you hope to walk away with after engaging in a healing intensive? *
Is there anything else you'd like for me to know in considering you for being a part of the healing intensive process? *
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