Forms & Questionnaires

Please fill out the following forms after receiving instruction from Raven:

For Therapy

Request for Therapy with Raven

tally.so/r/81e2ok

Therapy Consent Form

tally.so/r/QKzEkg

Informed Consent of AI assisted Note Taking During Sessions

tally.so/r/7RzA92

Working with Raven Feedback Form

tally.so/r/QKOeA7

Questionnaires

Relationships & Intimacy Patterns Questionnaire

tally.so/r/7RzA92

Courses

Abrupt Relational Fragmentation Master Class

eliteintimacy.com/strangersclass

Media

Media Form For Raven as a Guest on Show

tally.so/r/Pdy2Od

For Therapists

Therapists Survey About Somatic Therapy

tally.so/r/2EVpJj

Relationships & Intimacy Patterns Questionnaire

Gain Clarity on Your Patterns

Take the neuro-somatic questionnaire to recognize relationship patterns that often operate outside of conscious awareness.

Get The Questionnaire