Trauma Immersion Experience 2023 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, if so what and can you describe them? What support/resources do you have after the experience (therapy, breathwork, ceremonies, yoga, exercise, cold showers etc…)? 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). Thank you!
