Name
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First Name
Last Name
Email
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Phone
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Have you done this type of training before? If yes, please tell me more about it.
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Have you been treated for emotional/psychological breakdowns? Please explain.
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Have you been diagnosed with any kind of mental health issues? Please explain.
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Have you been institutionalized? When and where? Feel free to add anything else you would like me to know.
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Why are you interested in this kind of training?
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How did you hear about me and this training?
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If Other, please explain.
Do you take any medications, supplements, or herbal remedies on a regular basis? If yes, please provide details.
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If on prescription medication(s), what type of physician do you receive these from?
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Please describe your relationship to alcohol, marijuana, tobacco, or other substances. For this type of work, the accuracy of this answer is highly important.
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What therapists/coaches/counselors have you worked or are you working with, specifically how long you’ve been with them and the intention of the work?
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Who/what do you lean on for support, e.g. friends, family, community, religion/spirituality? Please share more with me about your source(s) of support.
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What are some difficult things from your familial/childhood history? Include traumatic experiences you've had, and what support (if any) you have relied on to help you integrate.
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Tell me about the family you grew up in: what were things like when you were growing up? What is your relationship like with your family now?
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Are you currently in an intimate relationship?
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If yes, please tell me about it. What is your connection like with your partner? How long have you been together?
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Do you deem it a “healthy” relationship? If so, why? If not, why? And if not, have you given any thought to how this might affect you in your training?
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Does your partner know you are doing this training? Are they supportive? If they are not, please explain how moving ahead without their support works for you.
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If you are not in an intimate partnership, would you like to be in one?
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What kind of relationships would you like to cultivate and create in your life?
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What is your relationship to ethics in this field of work? Rather than give you my definition of ethics, I want to know how you understand them and how they live in you.
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This field of work can attract certain kinds of power dynamics. For example, that kind of power can make a person giddy or forget themselves and break certain agreements and regulations. Are you aware of this occurring in this field? If so, what is your reaction or concerns about this?
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Journey guides are representative of folk who are invested in doing their own personal work first, for the sake of their own relationships and, by extension, their community. Do you relate to this? If so, how?
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This training requires transparency from everyone involved - participants, leader, and faculty. Our past will come into play, the current state of our lives will come into play, our strengths will be revealed, as will our weaknesses. All of this is in service of cultivating strong ethical and relational bonds in this new network, which will inevitably serve your life, your work with clients, and your community. What comes up for you when you read this? Are you willing to allow this to unfold for you?
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Non dominant leadership creates a culture that is non patriarchal, non misogynistic, transparent, inclusive and diverse. As the leader of The Way Weavers Program, I will rely on my experience, wisdom, and knowledge to hold my place of leadership. I will be equally responsible for all that I don’t know, slowing down to reveal and own my experience as a program leader and a human being. I have it that you are a leader in your own life and you plan to arrive into the program with all your adult leaderful self in service of shaping and adding to the Way Weaver who already lives in you. Will you, in your learning process, be open to a non dominant leadership style, which requires that you, me, and others like me on faculty embody our wisdom with dignity and own our not knowing or even “getting it wrong” with humility? Please share what comes up for you as you read this.
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What do you perceive as something which might get in the way of you being a good fit for us?
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Is there anything else you'd like me to know about you, perhaps something that feels better to write about before talking about it on our exploratory call?
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