CFT Therapist & Supervisor Directory Compassionate Mind Australia is developing a directory of therapists and supervisors who are trained in Compassion Focused Therapy (CFT) and provide services in Australia. If you are interested in being part of the directory, please provide information below. Please note that information from questions below may be provided to third parties for the explicit purpose of supporting service access and provision, so please consider this comparable to professional publicly available information. Further details, when available, can be found at https://www.compassionatemind.org.au/therapist-directory . Question Title * 1. Full name: Question Title * 2. Please provide an overview of yourself and CFT therapy services provided: Question Title * 3. Contact details Preferred name: Email address: Website URL: Practice Address/location: Question Title * 4. Therapist Information Languages spoken Highest degree/qualification Professional registration / licensing details Question Title * 5. What format of therapy do you offer? Individuals Couples Families Groups Organisations Other (please specify) Question Title * 6. Please list your CFT training (e.g. trainings/courses/workshops attended), with whom you did your training (e.g. Paul Gilbert). You can also list other compassion-based training. For each workshop, please include (Title, Year, No of days, Presenter) 1. (Title, Yr, No of days, Presenter) 2.... 3. 4. 5. 6. 7. 8. Question Title * 7. CFT practice and Supervision Number of years practice using CFT? Who have you had supervision with? Frequency of supervision? Question Title * 8. Do you want to be considered for the Supervisor list? (Minimum criteria: advanced training and practice, personal practice, and supervision in CFT + profession specific training in supervision) Yes No (please go to the end of the survey) If yes, please complete the following questions Question Title * 9. Please provide an overview of your own CFT (and/or compassion based) personal practice Question Title * 10. Are you an accredited supervisor with your professional body (if applicable) No Yes (please provide details of supervisor training, year completed) By submitting this form, I confirm that I understand that this information is provided for a directory of CFT-interested individuals, and that Compassionate Mind Australia (CMA) is not endorsing or recommending anyone on this directory for clinical services or supervision. I also understand that I may be contacted by Compassionate Mind Australia (CMA) requesting further details or clarification of the information I have submitted. All data collected through this form is used solely for the express purposes outlined and only provided from CMA to third parties upon request for information relating to the provision of CFT services. If at any time you would like to have your information removed or you have any questions, please email info@compassionatemind.org.au Submit