I understand that when I join the Happiness Now Support Group that I will do my
best to attend every meeting, that I will maintain the agreed upon confidentiality
regarding the statements and feelings of group members, and that I will submit
weekly my signed Daily Worksheets. The therapist will review these sheets and the
information and comments that I write on them, and make suggestions where appropriate. I
understand that my monthly fee covers 4 meetings, whether or not I attend. I also understand
that if I miss three meetings in a row, my membership in the group will be concluded and my
membership will be given to someone else. I understand that my participation in the group must
be supportive of the other members. I will neither monopolize the discussion, nor withdraw
from the group in silence.
The 90 minute sessions are divided into two parts: discussion of Happiness Now principles as
described in the seminar materials; discussion of emotional issues related to obesity, as described
in the textbook I understand that I may attend the first portion of the meeting, and excuse
myself from the second portion if time is an issue for me.
The fee for group is as follows:
Entry Fee:
Seminar Notebook $20.00
Fortresses to Build and to Destroy, by Alexis Morgan $20.00
Ongoing Fees:
$100.00 per month for 4 consecutive sessions, 1 1/2 hours each.
Bonus: Every week that I submit my worksheets with at least a date and a marked Food Program
Choice, my fee will be cut in half. Therefore, the fee for 4 sessions will by $50.00
Additional Bonus. I will weigh at the first meeting, writing my weight down on my first Daily
Worksheet. I will state on that Worksheet how many pounds I need to lose. If I have 50 pounds
or less to lose, then the fee for the meetings will be reduced to $5.00 per session (to cover costs)
after I have lost 25 pounds. So long as I do not gain more than 2 pounds above that pound,
shown by the weekly weigh-in, my session fee will continue to be $5.00 weekly. If I have more
than 50 pounds to lose, then the fee for the meetings will be reduced after I have lost 40 pounds,
or another goal weight as agreed upon between the client and the therapist. This bonus is
provided to encourage members to maintain weight loss, especially during times when the
weight loss plateaus or discouragement is experienced. It also helps group members learn that
perfection is not our group goal. Instead, we pursue progress, improvement, and happiness.
Signatures:
Client________________________________________________Date_________________________________
Nancy Carter, LCSW__________________________________Date_________________________________
best to attend every meeting, that I will maintain the agreed upon confidentiality
regarding the statements and feelings of group members, and that I will submit
weekly my signed Daily Worksheets. The therapist will review these sheets and the
information and comments that I write on them, and make suggestions where appropriate. I
understand that my monthly fee covers 4 meetings, whether or not I attend. I also understand
that if I miss three meetings in a row, my membership in the group will be concluded and my
membership will be given to someone else. I understand that my participation in the group must
be supportive of the other members. I will neither monopolize the discussion, nor withdraw
from the group in silence.
The 90 minute sessions are divided into two parts: discussion of Happiness Now principles as
described in the seminar materials; discussion of emotional issues related to obesity, as described
in the textbook I understand that I may attend the first portion of the meeting, and excuse
myself from the second portion if time is an issue for me.
The fee for group is as follows:
Entry Fee:
Seminar Notebook $20.00
Fortresses to Build and to Destroy, by Alexis Morgan $20.00
Ongoing Fees:
$100.00 per month for 4 consecutive sessions, 1 1/2 hours each.
Bonus: Every week that I submit my worksheets with at least a date and a marked Food Program
Choice, my fee will be cut in half. Therefore, the fee for 4 sessions will by $50.00
Additional Bonus. I will weigh at the first meeting, writing my weight down on my first Daily
Worksheet. I will state on that Worksheet how many pounds I need to lose. If I have 50 pounds
or less to lose, then the fee for the meetings will be reduced to $5.00 per session (to cover costs)
after I have lost 25 pounds. So long as I do not gain more than 2 pounds above that pound,
shown by the weekly weigh-in, my session fee will continue to be $5.00 weekly. If I have more
than 50 pounds to lose, then the fee for the meetings will be reduced after I have lost 40 pounds,
or another goal weight as agreed upon between the client and the therapist. This bonus is
provided to encourage members to maintain weight loss, especially during times when the
weight loss plateaus or discouragement is experienced. It also helps group members learn that
perfection is not our group goal. Instead, we pursue progress, improvement, and happiness.
Signatures:
Client________________________________________________Date_________________________________
Nancy Carter, LCSW__________________________________Date_________________________________
| CONTRACT FOR HAPPINESS NOW SUPPORT GROUP |