Somatic Shadow & Circle Work Facilitator Training

Trauma-informed Intake Questionnaire

Given the advanced nature of this retreat, we kindly ask that participants possess a minimum of three years of personal development experience. This requirement ensures that you have the adeptness to manage your emotions during intense experiences, possess awareness of triggers related to past traumas, and are actively engaged in addressing any lingering effects of trauma within your life. Our aim is to create a transformative environment, free from easily triggered traumas, where participants can delve into deep personal work. While our skilled assistants will be on hand to provide support, we seek individuals who are equipped to navigate these profound processes with a strong sense of self-agency.

First Name *

Last Name *

Email *

Phone (Whatsapp including international dialling code) *

Have you participated in anything similar to the Somatic Shadow & Circle Work Retreat before? *

Yes

What inspired you to apply for the Somatic Shadow & Circle Work Retreat? *

Have you work with either Christian or Maanee before? If so, where and how have you worked with them? *

What are your main goals for attending the Somatic Shadow & Circle Work Retreat? *

Do you have any experience as a facilitator, coach, therapist? If yes, what is your experience? *

Do you have any prior experience with shadow work? *

Are you currently seeing a mental health professional of any type (counsellor, therapist, social worker)? *

Have you been diagnosed with a mental health condition currently or in the past? If yes, please provide details. *

If you've had treatment for a mental health condition, is or was it successful? Please provide details. *

Are you currently taking any medication for a mental health condition? If yes, please provide details. *

Have you ever experienced any trauma (eg. physical, emotional, sexual abuse, or other types of trauma)? *

If you responded yes to the above question, have you received professional help for this trauma? *

Was this support for your trauma effective? *

Do you feel comfortable participating in group discussions? *

The Somatic Shadow & Circle Work Retreat may involve physical movement, emotional release practices and processing of past trauma. Do you foresee any problems participating in these activities? (All activities are optional) *

How much experience do you have around consent and setting boundaries? Please share what consent means to you and if any, where you find it challenging to set boundaries. *

How comfortable are you saying 'No' to people, especially when it comes to sensuality and sexuality? Please share any challenges. *

Do you feel comfortable being in a space where psilocybin may be used therapeutically to support deeper exploration of shadow work? Do you understand that participation in psilocybin use is entirely optional, and if you choose not to partake, you are still expected to respect and support the experiences of those who do? *

I understand that the Somatic Shadow & Circle Work Retreat is sex and body positive. This means that there will be sexual and sensual containers within the shadow work process. You do not have to participate in any activity that goes outside of your own boundaries, everything is an option and I understand that while I'm entering a field where sexual energy and sensuality will be present, I do not have to participate in anything that does not align with my personal values and boundaries. *

I agree

I do not agree

Is there any other information you would like to share with us in relation to your participation in the Somatic Shadow & Circle Work Retreat? *

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