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Transformation Centre Pre-work

Transformation Centre Pre-Work

Liability form

Before ministry, we need a signed liability form from you. Please click here to download the form, and print it, sign it and bring with you to your session.

Pre-work

To help us to serve you effectively, please fill out and submit the following information at least a week prior to your session. This allows our ministers to prayerfully prepare for your session.
Note: The information will be kept confidential at all times and you will receive a copy via email when you submit this form


Details Required for all bookings:

Name:
Email address:
Select your booking type:
Select date you've booked:
Gender: MaleFemale
Age: 15-2425-3435-4445-5455-6465-7475+
Do you attend a church? If so, which one?:
Church Role (if applicable):
Are you currently seeing a Therapist / Counsellor?: NoYes
Are you on any medication for mental illness?: NoYes
Please briefly detail what you'd like to get from your session:


Sozo information required:

If you are coming for a Sozo, please tick any of the following that currently apply to you:
AnxietyCriminal RecordPhysically AbusedSexual PromiscuityHeadachesAltered AppetiteAddictive BehaviourPhysically AbusiveSuicidalOutbursts of AngerSuicide AttemptsHearing VoicesDepressionDrug AbuseSexually AbusedSexually AbusiveRecent LossSleep IssuesAlcohol AbuseOccult Involvement


Dream Consultation information required:

If you are coming for a Dream Consultation, please fill out the following:
Date of the dream:
Dream Title: How would you title your dream in one sentence
Dream colours: black & whitemutedtwilightvividother/don't remember
Atmosphere (how did the dream feel?): calm/peacefulanxiousscaryjoyfulexcitingother/don't remember
People in the dream (who do you remember being in the dream and what is your relationship to them?):
Please write a brief description of the dream (500 words max):
What questions do you have re the dream?:


Consent Required

I consent to the above information being used for ministers to prayerfully prepare for my session