Welcome to Difuso,
your regenerative journey

One of our values is PEOPLE, meaning Community, this is why we would love to know a bit more about you and the life journey that brought you here.
All the information you will provide is confidential.

Facilitators Intake Form

Updates

First Name

Last Name

Phone Number

Email

What is the gender you identify with?

Point from 1 to 5 the level of well-being of your life right now

1 = Completely unsatisfactory, I am in crisis;
5 = I feel good, I want to discover my full self

What type of character would describe you better?

Emotional

Mental

Action

Other (Please specify)

Please specify your type of character

In which area/areas of your life are you experiencing the main challenges?

Family of origin

My own family

Work

Money

Life purpose

Romantic relationships

Health

Intimate connection

Substances and addictive behaviors

Are you undergoing a therapeutic process?

Yes

No

Please specify what kind of therapy

Have you ever done a somatic practice or session?

What kind of practice/session/healing program are you looking for?

Contact us:

[email protected]+34 638 329 473

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Las Casitas Contact

Notify

First Name

Last Name

Email

Desired Dates

Welcome to Difuso,your regenerative journey

Welcome to Difuso,
your regenerative journey