Intake Form

Hi there. I am deeply honored that you have chosen to partake in this extraordinary inner-outer journey with me. Before we get started, please take some time to fill out this intake form. Everything you share will be kept confidential and treated with care, respect, and sensitivity.

Please note that TLP Meditation Coaching programs are complementary wellness services intended to support self-awareness, emotional balance, personal growth, and overall well-being. We are not a replacement for medical care, psychotherapy, psychiatric care, or crisis support.‍ ‍

Because this work involves reflection, meditation, and inner inquiry, it is best suited for those who feel resourced enough to explore their inner world in a coaching-based setting. If you are currently in crisis, experiencing severe emotional distress, or feel that you need clinical mental health support, I encourage you to seek support from a licensed medical or mental health professional first. If your needs fall outside the scope of my services, I may gently recommend that you work with an appropriate licensed professional.

Please complete this questionnaire at least 24 hours before our first session so I can better understand you and prepare for our time together. I look forward to supporting your inner discovery, healing, and transformation.

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您好 ～ 很開心也很榮幸您選擇和我一起踏上這段特別的內在探索旅程。在我們正式開始之前，請先花一點時間填寫這份初次諮詢資料表。請安心，您在表格中分享的所有資訊都會被妥善保密，並會被以尊重、關心與細膩的態度對待。 也想先簡單說明：荷花池身心靈顧問公司的冥想陪伴服務屬於身心健康的輔助支持服務，主要是幫助提升自我覺察、情緒平衡、個人成長與整體身心健康。此服務不能取代醫療照護、心理治療、精神醫療或危機處理支持。 由於這項服務會包含自我覺察、冥想與內在探索，較適合目前身心狀態相對穩定，並覺得自己有足夠內在資源參與教練式陪伴的人。如果您目前正處於危機狀態、經歷嚴重的情緒困擾，或覺得自己需要臨床心理健康支持，我會鼓勵您先尋求合格醫療或心理健康專業人員的協助。若您的需求超出我所能提供的服務範圍，我也可能會溫柔地建議您與合適的合格專業人員合作。 請盡量在我們第一次會面前 24 小時完成這份問卷，讓我能更了解您，也能更好地準備我們的第一次對話。 很期待陪伴並支持您展開這段自我探索、療癒與轉化的旅程！