Welcome to The Garden!

This a free, members-only online community for Christian women navigating intimate betrayal. This community is hosted on Funnel Gorgeous (FG) platform and is operated by Danielle Lew, MSW, CPC, APSATS-CCPS, through Danielle Nicole Coaching, LLC (DBA Rooted, Refined & Restored).

By completing the intake questionnaire and joining this community, you agree to the following Terms and Conditions in full.

The Garden

Membership Intake Questionaire

Please complete all fields honestly and in full. Your application will be reviewed before access is granted. This measure is for protection of the community and will NOT be shared outside of Rooted, Refined, and Restored Programming for internal use only!

About You

First Name *

Last Name *

Perferred Name

Email *

City

State

Age Confirmation *

I confirm that I am 18 years of age or older

Gender Confirmation *

I confirm that I am a woman

Faith & Context

Are you open to Christian Biblical Worldviews?

Tell us a little about where you are in your faith journey.

How did you hear about The Garden community?

Instagram or social media

Rooted, Refined & Restored website

Referral from a friend or therapist

Podcast - War on Love: If I Were the Devil

Current or former client of Rooted Refined & Restored (DBA Danielle Nicole Coaching)

Other (please describe below)

Other:

Your Situation

You do not need to share more than you are comfortable with. This information helps us understand where you are so we can best support you and the community based on where people are in the journey!

How long ago did you discover the betrayal?

Where is your husband/partner in his recovery journey?

Are you currently working with a therapist or counselor for yourself?

Is there anything else about your situation you would like us to know before approving your membership? (optional)

Professional Background

This section is required. All answers are confidential and used solely to protect the integrity of the community.

Are you currently working or have you previously worked as a licensed mental health professional, coach, pastor, clergy, or in any professional capacity related to betrayal trauma, marriage, or relational healing? *

If yes, please describe your professional role and any related credentials:

Are you joining The Garden as a community member seeking personal support (not in a professional capacity)? *

Please explain:

Community Standards Agreement

Signature & Acknowldegement

By signing below, I confirm that all information provided in this questionnaire is accurate and complete, and that I agree to The Garden Terms and Conditions in full.

Full Name

Signature

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