The Healing Room -

Attachment Healing Community Application

A few reflective questions to ensure we're building the right container together.

First name

Are you single or in a relationship?

How would you currently describe your current attachment patterns?

How did you come to understand attachment theory? Please list the sources or experiences most shaped your current view.

What specific work have you done to heal your insecure attachment patterns?

What tends to activate you most in relationships today, and how do you regulate it?

Are you able to take accountability and practice rupture & repair?

How would you rate yourself in terms of being attuned to others?

Highly attuned to others

Somewhat attuned to others

Mostly attuned to myself

Only attuned to myself

Do you agree that this container will be a safe place for all attachment styles that want to heal and that certain unhelpful behaviors may result in being removed from the group? If so, type AGREE