Women's Healing Circle Application

Hello,

We're delighted that you're considering joining our Healing Circle Program—a part of the Intentional Healing Communities framework! This journey is designed for those ready to explore self-sabotage, break free from patterns, and embrace self-mastery.

Your insights will help us ensure the program aligns with your goals. Please complete our 10 minute application form. We're committed to fostering a safe and authentic space for your growth. We provide a rolling application process to maintain accessibility and assess needs. The next circle will take place in Fall (October) 2024 Cohort and  is open to all women living in the United States and abroad. 

Thank you for sharing your insights. Let's begin your journey towards self-mastery!

Warmly, Kristin Davis, LMFT
Founder, Niche Counseling & Consulting, PLLC
Creator of Intentional Healing Communities™️

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First Name:  *
Last Name: 
Email:  *
Phone:  *
Today's Date *
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APPLICATION
There are no wrong answers. Your responses in this form are confidential. They will only be used for screening purposes to ensure a suitable fit for the Healing Circle Program. Your information will remain private and will not be shared externally.
How committed are you to personal growth and self-discovery?
 *
Not very committed
Extremely committed
Important Note 
Please be aware that the Women's Healing Circle is not a substitute for mental health therapy or professional counseling services. While the circle provides a supportive and nurturing environment for personal growth and healing, it does not offer clinical or therapeutic interventions. Participants are encouraged to seek professional mental health support if they have ongoing or acute mental health needs. This circle is designed to complement, not replace, any existing mental health treatment.
Are you open to sharing your thoughts and experiences within a supportive group setting?
 *
Are you currently being treated by a mental health professional (i.e. therapist, psychologist, psychiatrist, or doctor) for a mental health diagnosis?  *
Have you been treated in the past by a mental health professional (i.e. therapist, psychologist, psychiatrist, or doctor) for a mental health diagnosis?  *
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