Form
Welcome
I’m glad you’re here. This form helps me get to know you a little bit before our call. I'll be in touch soon to schedule our 30-minute Connection Call and answer any questions before the cohort begins. Please note I will be traveling from February 10-21 with limited access to email. **All answers are confidential** Have a question? Email me at lizrees@interflourish.com
Name
*
First Name
Last Name
Email
*
example@example.com
What do you hope to gain from The Integration Lab?
*
In what area of your life are you seeking integration?
*
Have you already completed the journey you’d like to integrate in this program? (If your timing is after the start date, you’re welcome to reach out and I can let you know about the next cohort.)
*
yes
Not yet — but it’s scheduled before the program begins
Not yet / I’m not sure of timing
When are you generally available for a 30-minute Connection Call (ET)?
*
Weekday mornings
Weekday afternoons
Weekday evenings
Weekends
My schedule varies
How did you find out about The Integration Lab?
*
This group is coaching and peer support. It is not therapy, medical care, or crisis support. This program is not a fit if you are currently experiencing a break from reality, mania-like activation, severe dissociation, active suicidal ideation, or trauma responses requiring specialized 1:1 clinical support. Given this scope, does The Integration Lab feel like the right support for you right now?
*
Yes
No
No, and I would like support in finding the appropriate level of care.
Submit
Should be Empty: