Workshop Suitability and Safety Screening

To help ensure that this workshop is suitable and beneficial for all participants, please answer the following questions.

1. Are there any current safety concerns within your relationship that the facilitator should be aware of?*

Yes

If yes, please provide brief details:

2. Are there any current Family and Domestic Violence (FDV) concerns, coercive control behaviours, stalking, intimidation, threats, or Protection Orders in place?*

Yes

If yes, please provide brief details or request a confidential discussion with the facilitator:

3. Are either of you currently experiencing significant mental health concerns, relationship crises, or circumstances that may affect participation in a group workshop setting?*

Yes

If yes, please provide brief details:

4. Would you like the facilitator to contact you confidentially prior to the workshop to discuss any concerns regarding suitability, safety, participation, or support needs?*

Yes

Preferred Contact Number:*

Preferred Contact Time:*

Please note:

The Couples Communication & Connection Workshop is designed as a psychoeducational relationship enrichment program. While many couples find the workshop highly beneficial, it may not be suitable where there are significant safety concerns, active family violence, coercive control, severe relationship distress, or circumstances requiring therapeutic intervention.

Where appropriate, participants may be offered alternative support options, including individual or couples counselling services.

Get in touch

Take the first step towards a brighter, more balanced life. Explore the transformative potential of hypnotherapy and psychotherapy with Serene Solutions, and embark on a journey of healing, growth, and self-discovery.

Mob: 0430 620 234

Face-to-face/Outreach/online bookings - Ellenbrook (City of Swan) Western Australia
admin@serenesolutions.com.au

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