INTAKE + CONSENT FORM Paʻa Sessions | The Blisstitute of Living Aloha

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Please indicate your main reason for booking a Pa'a Session

Have you engaged in any type of talk therapy before?

Yes

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Was your experience of this mostly positive or negative? What worked well for you/didnʻt work for you?

If you haven't already shared this, or if it's changed, please share anything that you would like to work on/get out of you Pa'a Session/s

Have you experienced any recent trauma and/or big life changes that you would like to share before your session?

Do you have any diagnoses that would be helpful to share before your session?

Is there anything else that you would like to share before your session?

I agree to the Cancellation Policy for Paʻa Sessions

Yes

I agree to the Privacy Policy for Paʻa Sessions

Yes

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Mahalo (thank you) for booking a Paʻa Session Please fill in this form prior to your first session...