Trauma Immersion Experience 2024 Questionnaire Name * First Name Last Name Email * Why do you want to attend the Trauma Immersion Experience? Could you give a brief overview of the issues you are wanting to address at the experience? What do you feel you will bring to the group? What may be challenging for you? Do you have any present day triggers, can you describe them? If so, what would you say were your resources for dealing with these triggers? What would be your ongoing resources and support after the experience? Please give a brief overview of your family of origin and state the quality of your relationship with each member. (Parents, siblings, ages, divorce, bereavement). Is there any current or previous clinical diagnosis of yourself or family members? Any current medication prescribed for current clinical diagnosis? At the experience if you feel like you are struggling, what would we see in terms of behaviours/isolation? What do you currently think/believe is holding you back from making the changes you want in your life? Thank you!
