TGH Consent and Inquiry Form
Hi! We are so happy that you're exploring constellations and taking time to invest in your healing. We'd love to learn more about you before we confirm your appointment.
Email address *
Full Name *
Phone Number *
Location (City/country) and Time Zone *
Can you tell us about your family of origin? *
Do you have experience in Family Constellations or ancestral healing? Please tell us more.
Are you currently receiving clinical/mental health therapy? If yes, please tell us more. *
I understand that the TGH experience does not replace therapy or any professional mental services. *
I understand that healing is my personal journey and the facilitators cannot guarantee specific outcomes from my expectations. They are only facilitating the experience with their best effort. *
I release the facilitators from any liability from this experience. Initial or put your full name here. *
I will respect group agreements and privacy from the session. I will treat everyone in the experience with respect and kindness to my best effort. *
How would you rank your current level of emotional well-being? *
How would you rank your current level of stress? *
How would you rank your current level of drive/motivation? *
How would you rank your current level of overall health? *
How would you rank your current level of self-care? *
How would you rank your current level of self-esteem? *
What do you hope to achieve from this experience with us? *
If you have a message for your future self, what would you say? *
What is your availability for a time to meet? *
Required
Which session are you interested in? *
Required
How did you hear about this event?
Is there anything else we should know before we talk?
We honor your opening of your heart and pouring your energy into this process. We take your privacy very seriously.
Your privacy is very important to us. TGH will not redistribute any information you shared beyond the purpose of this event. Thank you for respecting our right to refuse any client in our discretion.
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