Application - Relationship Resilience Group
It’s important to make sure that you and the group are a great fit for each other. There are two levels to discern that. (1) All prospects fill out an initial application. Then I'll call and we'll schedule a 20 minute meeting. (2) If the group is already full, we'll add you to the waiting list. Or we'll talk through your options.
First and last name
Are you a current or previous client?
Yes, I'm currently seeing you for counseling or consulting
Yes, I'm a previous client and have seen you in the past
What kind of support do you have now?
What would you like to get from being in the "Relationship Resilience" group?
Support - I'm too isolated with all the changes I'm going through
I need help with doing the next right thing
I need skills and accountability i.e. assertiveness, confidence, communication
I need clarity and sense of purpose
All of the above
What do you think transformation would look like for you after completing seven weeks of group experiences?
What are the biggest obstacles you face with a seven-week commitment toward nurturing your true self?
How crucial is this transformational opportunity for you now?
I'm so unsure at this point.
I'm whole-heartedly committed to taking risks of growth. This group is exactly what I need right now.
What draws you to the group at this time?
If you and I could sit down and visit with a cup of tea or coffee, what would you like to share?
What is the best way to contact you? (please include phone number)
Send me a copy of my responses.
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