Form

Have you recieved counselling or treatment before?

YesNo
Do you have any disabilities?

YesNo
PLEASE explain why you have enrolled on the TRAUMA RECOVERY programme and what you hope to have achieved by the end of the 7 week sessions.

Your Answer:
I understand that I will have to Pay in full or the 1st Installment payment before the programme date to secure my place. Second Onstallment will be paid on the 3rd April 2023

Yes
HOW WILL YOU BE PAYING FOR THE PROGRAMME FEE?

In Full £349In 2 Installments of £174.50
Should be Empty: