Tending the Inner Garden
Personal Growth Group for Eating Disorder and/or PTS Recovery
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Contact Information
Full Name
*
Email Address
*
Phone Number
*
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Commitment & Payment
Are you able to join us for 10 consecutive sessions of this group (meeting every other week)? If not, please explain below.
*
Yes
No
How would you like to pay for your spot in the group? We use a sliding scale called the Green Bottle model. If you pay for all 10 sessions at once, you receive 10% off.
*
$80 per session – Sustaining Bottle (10 sessions = $800 / Upfront = $720)
$65 per session – Half Bottle (10 sessions = $650 / Upfront = $585)
$40 per session – Supported Bottle (10 sessions = $400 / Upfront = $360)
I’d like to talk about other options (payment plan, scholarship, etc.)
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Support & Collaboration
Are you working with a therapist, doctor, or support team right now?
*
Yes
No
Would you be open to us (Colleen Baratka and Courtney Meadows) sending a letter of collaboration to your therapist to discuss your progress to support your healing journey?
*
Yes
No
NA
I'd like more information first.
If you're comfortable, please share their name(s), roles, and email addresses and/or phone numbers:
About YOU
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About You
What made you interested in this group? What do you hope to get out of it?
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What helps you feel safe and supported when you're in a group (even on Zoom)?
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Are there (topics, activities, group dynamics) that feel hard or unsafe for you?
*
This group includes creative, body-based, and hands-on practices (e.g., psychodrama, drama therapy, energetic release work, etc.). Have you tried anything like that before? Are you open to it?
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Do you have any tech needs, health concerns, or anything else you'd like us to know about joining a virtual group?
*
Is there anything else you want to share with us before we begin?
My Products
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Prepay 10 weeks full fee
10 weeks @$80 with 10% discount
$
720.00
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Full Fee Weekly
$80 per group with a 10 group committment
$
80.00
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Half Bottle Prepay
10 weeks @ $65 with 10% discount
$
585.00
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Half Bottle Weekly
$65 per group with a 10 group committment
$
65.00
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Supported Bottle Prepay
10 weeks @ $40 with 10% discount
$
360.00
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Supported Bottle Weekly
$40 per group with 10 group committment
$
40.00
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Contact Group Leader for fee amount
$
10.00
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Payment Methods
Debit or Credit Card
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