Dream Tending Registration Form

Dream Voices - Listening in to the whisperings of the dream world




		Thank you for your interest in Dream Tending. To arrange for a session, please fill out and submit the following questionnaire, and then proceed to the payment page. Thank you.
Name:
Name:
Address:
City:
State:
Zip Code:
Country:
E-mail:
Cell Phone:
Home Phone:
Work Phone:
How often do you record your dreams?
Have you done any kind of dreamwork before? If so, please write a brief description of the type of work you have done.
How long have you been working with your dreams?
Please describe any hopes or expectations you may have in relation to our dream tending sessions together.
Please describe any concerns or fears you may have in relation to our dream tending sessions together.
Have you ever done any form of psychotherapy? If so, what kind, and for how long?
Are you currently working with a psychotherapist or counselor?				No Yes

			Please read each of the following statements and click in the boxes next to them to indicate that you have read and understand each statement.

	I understand that Dream Tending is not a casual process and that deep issues and emotions may arise during or in relation to a dream tending session.

	I understand that Dream Tending outside the clinical setting is not a substitute for psychotherapy, or other professional treatment, and should not be used as such.