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Signing Documents

APPLY

Apply to work with me

This application helps me decide whether this work is appropriate for you.

 

It isn’t first-come-first-served, and it isn’t a formality.

 

I work with a limited number of people at a time and review applications carefully.

 

If it’s a fit, I’ll be in touch with next steps.

If it’s not, I won’t proceed.

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What this work requires

This work suits people who:

 

  • are functioning in their lives, even if it feels effortful

  • are willing to take responsibility for their own shifts

  • want change, not ongoing management

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It isn’t designed for crisis support or reassurance.

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Before you apply

This work is structured and focused.

It’s not open-ended conversation or emotional processing.

 

Please apply only if you’re genuinely ready to engage.

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BEFORE YOU BEGIN

This form helps me decide whether this work is appropriate for you.

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Please answer honestly and briefly.

Clarity matters more than polish.

 

Most people take around 5-10 minutes to complete this.

 

  • This application is for my longer-term, structured work only.

  • Everything you share is treated as confidential within professional and legal limits.
  • If something feels difficult to write, you can note that and leave it there.

 

This application is not crisis support.

If you’re in immediate danger or need urgent help, please contact your GP, local emergency services, or a mental health hotline.

 

When you’re ready, continue below.​

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TELL ME ABOUT YOU

Basic Info

Date of birth
Month
Day
Year
Multi-line address


BEFORE WE GO DEEP

Select your container:
BE ENOUGH + BODY - 12-session in-person + online program (Tamborine, QLD)
Be Enough - 8-session online program
Be Enough - Sugar & Life online
I’m not sure - I’d like your recommendation

Which best describes paying for this work right now?

(This helps me assess fit and keep the work safe for both of us.)

Select one
It feels comfortable - I can pay without stress.
It stretches me, but I can make it work.
It would feel very stressful or unsafe financially right now.

ABOUT YOU

10 – Extreme Stress: Overwhelmed and unable to cope, feeling like everything is out of control.


0 – No Stress: Completely calm and at peace, no stress or tension present.

10 – Extreme Anxiety: Overwhelmed and unable to cope, feeling like everything is out of control.


0 – No Anxiety: Completely calm and at peace, no stress or tension present.

10 – Handle life's ups and downs extremely well.


0 – Handle life's ups and downs extremely poorly.


10 – Extremely Confident.


0 – No confidence in self.


10 – Extremely Focussed

0 – No Focus or Clarity




CLIENT ACKNOWLEDGEMENT & RESPONSIBILITY

Before we begin, I ask that you read the following carefully.


If we decide to work together, I can genuinely say yes to each statement below:


INFORMED CONSENT

I understand the nature of this work and consent to participate in sessions.

I acknowledge that I can pause or withdraw from the process at any time.

Please note:

You will be required to sign a full informed consent form, if your application is successful.

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Disclaimer:

Rebecca Hine is a qualified Counsellor, Hypnotherapist, and trauma-informed practitioner.

Sessions draw on counselling, hypnotherapy, and body-based approaches to support personal change, self-regulation, and decision-making.

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This work is not crisis support and is not intended to replace medical, psychiatric, or emergency care.

No specific outcomes can be guaranteed, as change depends on individual engagement and circumstances.

 

If you are experiencing a medical or mental health emergency, please seek immediate support from a qualified healthcare provider or local emergency services.

ABN: 27138528678 | © Rebecca Hine | All Rights Reserved

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