P2P Essentials Interest Form - 2025

DARVO Mini-Course Are You in a Relationship with a Narcissist? What's Your Healing Stage from Narcissistic Abuse? The 5 Stages of Narcissistic Abuse Healing

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Interest Form
P2P Essentials - 2025

Let us know you are interested in joining P2P Essentials by submitting the interest form below. A member of the P2P team will reach out to you within 48 hours to discuss next steps.

Serious inquiries only. Submitting this form does NOT create a commitment for you to join.

Name

Email

Phone Number

Are you in therapy?

Yes

No

If yes, please provide their name and contact information.

Do you have a personal support system in place, such as supportive family and/or friends?

Yes

No

If yes, please describe the type of support you have.

How familiar are you with narcissism and narcissistic abuse?

Very familiar

Somewhat familiar

Not very familiar

In your own words, describe what narcissistic abuse means to you.

If yes, please briefly describe your experience.

Check this box if you hope to gain EMOTIONAL HEALING from participating in this program.

Check this box if you hope to gain A BETTER UNDERSTANDING OF NARCISSISTIC RELATIONSHIPS from participating in this program.

Check this box if you hope to gain TOOLS FOR SETTING BOUNDARIES from participating in this program.

Check this box if you hope to gain A SUPPORT SYSTEM from participating in this program.

Check this box if you hope to gain PERSONAL EMPOWERMENT from participating in this program.

What else are you hoping to gain from participating in this program?

What type of narcissistic relationship are you recovering from? (i.e. Spouse/Partner, Parent, Sibling, Friend)

Have you been diagnosed with any mental health conditions?

Yes

No

If yes, please provide a brief description.

Are you currently on any medications for mental health-related issues?

Yes

No

If yes, please specify.

How motivated are you to make changes in your life to heal from narcissistic abuse? (1= not motivated at all, and 10 = fully committed).

1

2

3

4

5

6

7

8

9

10

What is your biggest fear or concern about starting this recovery program?

What do you feel are the biggest barriers to your healing and recovery? (i.e. lack of time, financial concerns, fear of confronting emotions, lack of support, something else).

Is there anything else you would like us to know about you as we consider your participation in P2P Essentials?

How did you initially find Marcia/Passage to Peace?

Psychology Today

BetterHelp

Instagram

Search Engine

Friend/Word-of-Mouth

Other

DARVO Mini-Course Are You in a Relationship with a Narcissist? What's Your Healing Stage from Narcissistic Abuse? The 5 Stages of Narcissistic Abuse Healing

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