Specify what you want specified. Leave the rest to be determined.
What Brings You Here
Shape the Encounter
Timing
Choose up to three times that work. None selected yet.
Saturday, October 31
Sunday, November 1
Monday, November 2
Tuesday, November 3
Wednesday, November 4
Thursday, November 5
Friday, November 6
Saturday, November 7
Sunday, November 8
Monday, November 9
Tuesday, November 10
Wednesday, November 11
Thursday, November 12
Friday, November 13
Saturday, November 14
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Monday, November 16
Tuesday, November 17
Wednesday, November 18
Location / format
Payment
A Brief Reality Check
History of psychosis, dissociative episodes, or severe untreated mental illness?
Yes
No
You
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What You’re Saying Yes To
This is not psychotherapy, counseling, coaching-as-treatment, or medical care. No outcome is guaranteed. You remain responsible for your own choices before, during, and after the session.
A Quantum Encounter is just two people meeting, both of them free agents with no obligations with respect to one another.
You agree to:
- Arrive as you are, without a requirement to perform insight or transformation.
- Say if something needs to stop. Stopping is always available.
- Keep any substances, medications, and medical conditions in your own care. This session does not diagnose, treat, or replace clinical support.
- Understand that the facilitator is not your therapist, priest, or physician, even if the work touches those territories.
If you are in crisis, or if you are thinking about harming yourself or someone else, do not use this form to seek emergency help. In the United States, call or text 988.
By checking the box on the booking form you acknowledge that you have read this agreement and that a timestamp of your acceptance will be stored with your request.
I have read the session agreement and acknowledge it.