APPLY FOR THE HEALING PATHWAY
Booking Source
First Name
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Last Name
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Email
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Phone
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State
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Country
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Country
Age
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Have you read either of Tracey's books?
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Have you watched the full Healing Pathway educational video?
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What most clearly describes why you want to work with Tracey now?
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How long has this been significantly affecting your life?
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How much is this currently impacting your daily functioning, relationships, or wellbeing?
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How willing are you to fully engage in that process?
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How much time per week can you realistically commit to your healing work and integration?
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What approaches have you already tried to resolve this?
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Are you currently under psychiatric care or experiencing an acute mental health challenges?
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If yes, please share more details plus any medication you may be taking?
The investment details for the Healing Pathway will be shared with those who are approved to move forward. To help us understand, which of the following best reflects your situation?
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If we move forward, when would you want to begin?
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Is there anything else you feel is important to share?
APPLY TO WORK WITH TRACEY GILLIES