Required info Retreat 2021-02 | Paul Ferrini Online

Required Information from all Retreat Participants

Name *

Please answer the following questions and click on the submit button below

or submit your answers by email to Paul at paul@lightforthesoul.com one week before the retreat begins .

Your answers will be confidential.

I have registered with Zoom for this Retreat. Please do so now if you have not done it yet.Click here to register

Select an option

I will attend the Affinity Group from 2:30 -- 4:00 PM Eastern

I will not attend this Affinity Group. Please take me off the list.

Name of your partner if he or she is attending this retreat

Select an option

S/he will attend the Affinity Group (Part 4)

S/he will not attend the Affinity Group

Please answer the following questions:

Are you currently in an intimate relationship and if so how long have you been with your partner?

If you are not in an intimate relationship, is there a previous relationship that is motivating you to attend this retreat? Or is there another relationship with a child, parent, friend or coworker that you are currently struggling with? If so, please answer the following questions with that person in mind.

What is the most challenging aspect of your partnership/relationship? Where do you and the other person get stuck?

How would you like the relationship to improve?

What can you do to improve the relationship? What can the other person do? What can you do together?

What other general or specific issues do you want me to address during my talks at the retreat?

Thanks for submitting!

Please write your name here as Signature

RETURN TO INSTRUCTIONS PAGE

I understand that Parts 1 and 3 of this retreat will be recorded onto video and shared with others and I give you permission to record all of my sharings. I agree to refrain from sharing anything that I would not
want others to see and/or hear.

I also understand that the topics discussed at this retreat may be challenging or even triggering for me.
I have discussed my participation with my therapist or doctor (if appropriate) and I attest that I have
no current psychiatric or other conditions that make me psychologically unstable and unable to participate safely in this workshop.