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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.
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Email
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Your email
Name
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Your answer
BIRTHDAY
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Your answer
Medical History
Current Diagnoses
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Your answer
Are you local? (Lethbridge + area)
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In person session
Online (excludes Thermography)
Trauma History (your story)
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Your answer
What do you perceive to be the biggest obstacle to your healing?
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Your answer
What are your current areas of concern?
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Your answer
What are you doing to maintain your health?
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Your answer
Why do you believe you are a fit for my offering?
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Your answer
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?
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Your answer
What is one thing your are currently resisting in your healing journey?
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Your answer
What do you hope to get out of this? What are your expectations?
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Your answer
Permission to Record
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YES
Required
Do you have a community or platform that you engage with? (Please share any links/social handles if applicable)
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Your answer
How did you find me?
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Your answer
Phone number
Your answer
Other information I should know...
Your answer
A copy of your responses will be emailed to the address you provided.
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