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Alternative Wellness Practice that is trauma-aware and offers EFT, Reiki, LifeForce Energy Healing, somatic grounding

Internal Shifts | Sheila Bell | Certified EFT and Energy Healing Practitioner, BSW

 

 Group Intake Form                                              Trauma-Aware Wellness Practice

Do you experience any of the following? Check all that apply
Where in your body do you tend to hold tension? Discomfort or Emotion? Please describe any areas that feel relevant in the boxes under the choices. Fill in as many or as few areas that resonate for you.
Which emotions do you find most challenging to feel or express? Check all that apply.
How do you typically respond when triggered?
What do you currently do to manage stress, difficult emotions, or overwhelm?
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Confidential Client Document — Please complete at your own pace

A warm welcome to you. Thank you for taking the time to complete this form. Every question here has been chosen thoughtfully, with your comfort and safety in mind. You are never required to share more than you feel ready to — simply indicating that something is relevant is always enough.

This form helps me understand who you are, what you're carrying, and how I can best support you. It is not a diagnostic tool. It is an invitation to be seen — on your own terms, at your own pace.

All information you share is held in the strictest confidence. Your autonomy is honoured throughout our work together. You have the right to skip any question, pause at any time, and change your mind at any point. This form, like our sessions, belongs to you.

If any question brings up strong feelings as you complete it, please make a note — that in itself is useful information, and we can explore it gently together.

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I respectfully acknowledge that I live, work, and gather on the unceded traditional territories of the Lək̓ʷəŋən peoples, known today as the Songhees and Esquimalt Nations. I also recognize the W̱SÁNEĆ Nations, whose historical relationships with the land continue to this day. As an online energy healing blog and practice, I am grateful for the opportunity to be here and honour the enduring stewardship, culture, and traditions of these Nations.

 Terms of Service

Disclaimer

Internal Shifts

Sheila Bell

EFT Practitioner/Energy Healer/BSW

Phone: 778-677-9949

email: sheila@internalshifts.com

Privacy Policy@Internal Shifts 2026

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