Application 
This is an application to work one to one with Bobbi Farrell for an Integrative Compassionate Inquiry and Fascial Release therapy session. 
The session will be recorded. 
Email *
Name *
BIRTHDAY  *
Medical History
Current Diagnoses
*
Are you local? (Lethbridge + area) *
Trauma History (your story) *
What do you perceive to be the biggest obstacle to your healing? *
What are your current areas of concern? *
What are you doing to maintain your health? *
Why do you believe you are a fit for my offering?  *
Are you open to homework and daily maintenance? How much time are you willing to put into your healing weekly? How committed are you to your healing? *
What is one thing your are currently resisting in your healing journey? *
What do you hope to get out of this? What are your expectations? *
Permission to Record *
Required
Do you have a community or platform that you engage with? (Please share any links/social handles if applicable) *
How did you find me? *
Phone number
Other information I should know...
A copy of your responses will be emailed to the address you provided.
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