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12-Week Live Programme · Application & Suitability Form

Thank you for your interest in Free to Be SHE™

This short form helps us understand what you're hoping to change, and whether the programme is the right kind of support for you. There are no perfect answers — please answer openly. Your information will be treated respectfully and confidentially.

Only 12 places available for the 13 January 2027 cohort — enrolment closes 6 January.

Important: Free to Be SHE™ is an educational and personal-development programme. It is not psychotherapy, medical treatment, crisis support, or a substitute for care from your GP or another qualified professional.
Your details
Section 1

What brings you here?

Section 2

Readiness & participation

How ready do you feel to reflect honestly and try new ways of responding?
Can you commit to attending the 12 weekly sessions and completing reasonable reflection or practice between sessions?
Section 3

Wellbeing & appropriate support

These questions are included so we can support you responsibly. A "yes" answer does not automatically prevent you from joining; it may simply mean we need a fuller conversation.

Are you currently receiving support for your emotional or mental wellbeing?

You do not need to provide a diagnosis. Please share only what is relevant to participating safely.

During the past three months, have you experienced a crisis, felt unable to keep yourself safe, or needed urgent mental-health support?
Is there anything about your physical health, emotional wellbeing, medication or current circumstances that you believe we should know to assess whether this programme is suitable?
Section 4

Commitment, confidentiality & consent

Are you willing to respect other participants' privacy and not share their personal stories outside the group?
Are you willing to take responsibility for your own choices, wellbeing and level of participation, and to seek appropriate professional help when needed?
The full programme fee is £1,500. If offered a place, which option would be most suitable?
Privacy & consent

Free to Be SHE™ will use the information in this form to assess suitability, contact you about your application, administer the programme if you join, and meet safeguarding or legal responsibilities. Your information will not be used publicly or shared for marketing without separate permission. It will be stored securely and retained only for as long as reasonably necessary, in line with the Free to Be SHE™ privacy notice and the full Cancellation, Withdrawal and Refund Terms.

If any answer suggests that you may need more specialised or immediate support, Toni Ann will discuss this sensitively with you and may recommend speaking with your GP or another qualified service before joining. In an emergency, call 999 or attend A&E.

Toni Ann reads every application personally, and will acknowledge yours within 2 working days. If it feels like a good fit, she'll follow up to arrange a short, relaxed suitability conversation before your place is confirmed.