Creating Stronger Relationships Through Healthy Boundaries

Thank you for your interest in this course.

Please fill out this form below, and you will be contacted to set up a short interview with Claire Maisonneuve

    First Name*

    Last Name*

    Your Age*

    Email*

    Phone*

    Have you in the past or currently seen a counsellor at Alpine Counselling Clinic? YES/NO

    Are you currently employed? YES/NO

    Reasons, Hopes, Expectations for taking this class?