Waiver and Session questionnaires

Please download the corresponding questionnaire for the type of session you have scheduled by clicking on that session name below.


SPLANKNA SESSIONS

Questionnaire for SPLANKNA Sessions - Pages for Mac

Questionnaire for SPLANKNA Sessions - Word

This questionnaire needs to be emailed to Laurie at lauriegoddu@gmail.com
no later than 1 day before your scheduled Splankna Session. If you are unable to email then please bring in a signed hard copy.


SHORT CONNECT SESSIONS

Questionnaire for SHORT CONNECT Session - Pages for Mac

Questionnaire for SHORT CONNECT Session - Word

This questionnaire needs to be emailed to Laurie at lauriegoddu@gmail.com
no later than three days before your scheduled Short Connect Session.


INTENSIVE CONNECT SESSIONS

Questionnaire for INTENSIVE CONNECT - Pages for Mac

Questionnaire for INTENSIVE CONNECT - Word

This questionnaire needs to be emailed to Laurie at lauriegoddu@gmail.com
no later than one week before your scheduled Intensive Connect Session.


COUPLES SESSIONS

Secondary Questionnaire for COUPLES Session - Pages for Mac

Secondary Questionnaire for COUPLES Session - Word

This questionnaire needs to be emailed to lauriegoddu@gmail.com
no later than three days before your scheduled Couples Session.


If the client coming in is a minor under the age of 18, please fill out this Minor Waiver by clicking here.

Laurie is not licensed or degreed or a medical professional. She functions as a Spiritual Life Coach and Pastoral Counselor when not using Splankna Therapy.