9635 Southern Pine Blvd- Ste. 101 Charlotte, NC, 28273 United States

704-266-0651

Niche Counseling & Consulting, PLLC provides comprehensive psychotherapy to individuals, couples and families and psychoeducational consulting to corporations to help them reach their full potential. We specialize in helping people identify and heal intergenerational patterns that do not serve their highest and greatest good.

If you are seeking support during a challenging situation or on the journey to find your best life, our services are customized to meet your needs. We look forward to working with you to achieve your goals!

Thank you for your interest in joining a Kinaura™ Gathering facilitated by Kristin Davis, LMFT. These gatherings are intimate, therapist-guided spaces for meaningful dialogue, psychoeducation, and connection.

Please take a few moments to complete this form. Your responses will help us prepare for a gathering that feels safe, grounded, and responsive to the needs of the group.

Name

First Name

Last Name

Pronouns

Intentions + Experience

1. What drew you to participate in this Kinaura™ Gathering?

(e.g., a desire for deeper connection, a season of personal growth, feeling stuck, curiosity, etc.)

2. Have you participated in a similar gathering or space before?

3. What are you hoping to walk away with after the gathering?

(e.g., clarity, connection, reflection, insight)

Themes + Needs

4. Are there specific topics or themes you'd be interested in exploring within the gathering space?

(e.g., boundaries, healing old patterns, navigating change, identity, etc.)

5. Do you have any concerns, hesitations, or questions about participating?

Accessibility + Logistics

6. Do you have any accessibility needs we should be aware of?

(e.g., mobility, sensory sensitivity, seating preferences)

7. Do you have any dietary restrictions or allergies we should keep in mind if refreshments are provided?

8. The gathering is designed to be a confidential and emotionally safe space. Are you comfortable agreeing to uphold the confidentiality of others in attendance?

Photos + Consent

9. Do you consent to being included in group photos (if taken) that may be used for social media or promotional purposes?

You do not need to consent to be part of the gathering.

10. Please confirm your understanding that all payments are due 14 days prior to the event and are non-refundable after that date.

11. Is there anything else you'd like to share with us that would help make this experience more supportive for you?