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Weekly Check In
This is a weekly check in form for the Healing Relationship Trauma program. All answers will be strictly confidential with Joshua Wagner
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Email
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Your email
Name
Your answer
Did you have any major achievements this week?
Your answer
Are there any milestones reached that you would like to highlight?
Your answer
What challenges have you faced this week and how have you addressed them?
Your answer
Are there any persistent issues that continue to hinder your progress?
Your answer
Do you have the resources and support to continue to move forward effectively?
Your answer
How can the group or I assist you in moving forward this week?
Your answer
What are your primary goals for the upcoming week?
Your answer
Are there any obstacles or difficulties you need to prepare for?
Your answer
What positive opportunities lie ahead for you this week?
Your answer
Did you listen to the Hypnosis Track from our last group session at least twice?
Yes
No
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On a scale f 1-10 how would you rate your current morale and motivation this week (10 being really good!)
1
2
3
4
5
6
7
8
9
10
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Is there anything I need to be doing better?
Your answer
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