story work healing intensive intake form

Thank you for being a part of the Story Work Healing Intensive! I am thankful you’ve decided to partner with me during this season of your creative journey.

Please answer the questions below to help me get to know you and how I can support you.

You will receive an email with additional details and directions when registration closes on May 16.

Name

First Name

Last Name

How did you find out about this program?

Have you used writing as a form of self-expression or healing before? If so, how?

What do you hope to gain from The Story Work Healing Intensive?

What does healing mean to you right now?

How do you take care of yourself when something emotional comes up? Do you have a support system in place?

Do you have any concerns or hesitations about the workshop you'd like to share?

You understand that Creative Coaching is distinct from therapy, and this Program is for creative purposes only. Under no circumstances will Coach provide therapy, nor will Coach render any medical or psychological advice or engage in any activity or practice that may require specialized training and/or licensing.

Please type ACCEPT in the space below to confirm your acceptance of these terms.

The fees charged under this Agreement represent the work performed by Coach to prepare the framework for this program, onboard Client into the program, and the work performed by Coach with Client during the course of the Program. As a result, the Coaching Fees charged under this Agreement are non-refundable.

Please type ACCEPT in the space below to confirm your acceptance of these terms.