Authentic Relating with Bella
This is a 30 minute Authentic Relating session with Bella Cummins. This event will be held via Zoom and you will be emailed the link prior to our meeting.
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Email *
Name *
Date of Birth *
Pronouns *
Faith/Religion? *
Have you been doing and are you still doing spiritual practices, if so, which ones? *
Have you had counseling or therapy in the past? If yes, have you ever been diagnosed by a psychiatrist? Please explain: *
What are your intentions or goals in receiving this offer? *
Are there any sensitive topics or traumas I should know about and that you would like to share beforehand? *
How did you hear about this offering? *
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