Who we are
ABOUT US
meet the TEAM
Join our team
What we do
MIND
>
Initial Wellbeing Consultation
Psychotherapy & Counselling
Psychometric Portfolio
Sports Psychological Interventions
Assessment & Therapeutic Services for Children
Speech & Language Therapy
Individual Mindfulness Training
Coaching
Executive Coaching
Customised Training (Soft Skills)
BRAIN / BODY
>
Psychiatric Assessment & Care
Medical Assessment & Care
Neurofeedback
Psychometric Testing & assessments
Occupational Therapy
Physiotherapy
Personal Fitness
Nutrition
REFLEXOLOGY
HEART
>
Psychotherapy & Counselling
Emotional Freedom Technique
Family Therapy, Couples Therapy & Relationship Enrichment
Coaching
Services of a Family Lawyer
SPIRIT
>
Psychotherapy & Counselling
Family Therapy, Couples Therapy & Relationship Enrichment
Coaching
Aromatherapy
Therapeutic Massage
Meditation & Yoga
PROGRAMMES
>
Home Support Programme
parent gym
Support for Organisations
>
peak performance
Whats on
WAYS TO WELLNESS WEBINAR
WORKING THERAPEUTICALLY TO HEAL THE INNER CHILD
PolarisKids
What is PolarisKids
StemLabs
Summer Wellbeing Club
The BodyBar
The Development Hub
Little Einsteins Club
Social Train
Webinars
>
Covid Support
Asks anything panel discussions
Resource bank
How Do I Talk To My Child About Their Adoption?
Coping As Best One Can, With Having a Parent Who Is Sick
how busy women can manage their stress
The Tindler Swindler
Newsletters
Press & Media
Read all about it
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Love
mental health for teenagers
Gen Z -THE SPACE FOR YOUNG PEOPLE
what clients say
CONTACT US
BOOKING FORM - WELLBEING OASIS
*
Indicates required field
name
*
First
Last
Email
*
phone Number
*
Package
*
1st August - 4th August
1st August - 8th August
10th - 13th August
10th - 17th August
19th - 22nd August
19th - 26th August
28th Aug - 31st Sept
28th Aug - 4th Sept
5th Sept - 8th Sept
5th Sept - 12th Sept
14th - 17th Sept
14th - 21st Sept
23rd Sept - 26th Sept
23rd Sept - 30th Sept
2nd Oct - 5th Oct
2nd Oct - 9th Oct
11th - 14th Oct
11th - 18th Oct
20th - 23rd Oct
20th - 27th Oct
29th Oct- 1st Nov
29th Oct- 5th Nov
7th - 10th Nov
7th - 14th Nov
16th - 19th Nov
16th - 23rd Nov
25th - 28th Nov
25th Nov - 2nd Dec
4th Dec - 7th Dec
4th Dec - 11th Dec
13th - 16th Dec
13th - 20th Dec
WILL YOU BE SHARING WITH ANOTHER GUEST
*
YES
NO
NAME OF GUEST
*
iF YES, PLEASE PROVIDE US WITH THE OTHER GUEST'S BOOKING NAME SO WE CAN BOOK YOUR ACCOMMODATION ACCORDINGLY AND COORDINATE ACTIVITIES
Gender
*
Male
Female
Age
*
19-25
26-35
36-50
Over 50
Prefer not to say
Where are you from?
*
Source of referral
*
How did you hear about us
EMERGENCY CONTACT PERSON
*
Can you give us the name & Contact number of someone you trust, just in case of an emergency?
What are your main goals / expectations from this retreat?
*
Wellbeing score
*
In order to assess your current wellbeing we have developed and online tool, accessible via the WELLBEING QUIZ link blow the score box
WELLBEING QUIZ
Please select the wellbeing session/s you would like to access
*
Aromatherpay
Reflexology
Structural Body Work
Massage
Coaching
Occupational Therapy
Personal Training
Physiotherapy
Emotional Freedom Technique
Dry Needling
You may select more than one, a different one for day of your stay, or choose the same service on every day.
Do you have any specific dietary requirements we should know about?
*
YES
NO
IF YES, PLEASE SPECIFY
*
IN ORDER TO CREATE A BESPOKE PROGRAM, WE WOULD LIKE TO KNOW A LITTLE BIT MORE ABOUT YOU. THE MORE INFORMATION YOU CAN GIVE US, THE MORE OUR EXPERIENCED STAFF CAN DEVELOP A PROGRAM AROUND YOUR SPECIFIC NEEDS.
Confidentiality
*
AGREE
Before you disclose further, please be informed that: Any Information that you give to any professional at Polaris about you and your family, or others, will remain confidential. The professional rendering such service will not give or refer any information about you to anyone outside the therapy session without your permission. The only exceptions to this would be when there is a serious concern about: a) risk of harming yourself or somebody else b) a person may be in danger of being abused c) you require the services of somebody else within the Polaris Team and therefore relevant information will be passed over as necessary and deemed fit for your wellbeing plan d) If so ordered to do so by a court of law e) taking dilemmas to supervisors or mentors, during which time no identifiable information is passed over
General Data Protection Policy
*
AGREE
By submitting this form, I consent for the personal information about me provided on the form to be held, recorded and processed by Polaris Consultancy and only shall only be used in the connection with the assessment or rendering of services. This may include information of a sensitive nature. And data will not be retained for longer than necessary. I understand that the information will be treated in confidence and used internally for specific purposes as laid out in Polaris Consultancy’s General Data Protection Policy (GDPR)
PREVIOUS WELLBEING EXPERIENCES
*
YES
NO
Have you ever attended any form of retreats/treatment/ therapy/Coaching/ counselling/ training/ Rehab before – anything to enhance your wellbeing?
IF YES, When and for how long?
*
Presenting ProblemS / Issues
*
So what brings you to us at this moment in your life? List any Physical, psychological, emotional & psychosocial symptoms currently being experienced. How long has this been going on? Are these symptoms chronic or acute?
Medical history
*
Have you ever been hospitalised for any reason? Do you have any medical conditions we should know about? Any significant medical history?
Are you currently under the care of a specialist or engaged in any medical treatment programs?
*
Yes
No
If Yes, please specify
*
HAVE YOU PREVIOUSLY BEEN UNDER THE CARE OF A SPECIALIST OR ENGAGED IN ANY MEDICAL TREATMENT PROGRAMS?
*
Yes
No
If Yes, Please specify
*
Have you ever had a head injury?
*
Yes
No
if yes, please specify
*
Are you currently on any Medication
*
Yes
No
If Yes, Please specify
*
Meds taken & prescribed by whom & when? Permission to contact if necessary (Yes/ No). Number:
Do you partake in the use of substances?
*
Yes
No
If Yes, Please specify (This information is strictly confidential)
*
FAMILY MEDICAL HISTORY
*
Is there anyone in your family (direct relations) who suffers from any physical or mental health conditions, learning difficulties, addictions, chronic illnesses, or anything else that may have a genetic influence on you?
Anything you need us to know to offer you the best possible care and rehabilitation
*
THANK YOU FOR YOUR TRUST. BY SUBMITTING THIS INFORMATION YOU ARE EQUIPPING US WITH THE POSSIBILITY OF OFFERING YOU A UNIQUE AND HEALING WELLBEING EXPERIENCE. YOU WILL SOON BE SENT OUR PAYMENT DETAILS. PLEASE NOTE THAT BOOKINGS CAN ONLY BE SECURED ONCE FULL PAYMENT IS RECEIVED.
Submit
+356 2099 3709 / 9990 8292
Worldwide online services, currently available in MALTESE, ENGLISH, ITALIAN & HUNGARIAN
A factory? YES a factory! A factory that produces well-being - a one-stop-shop for MIND, BODY & BRAIN, HEART & SPIRIT
Corporate, Staff & Organisation Support
PROGRAMMES
Who we are
ABOUT US
meet the TEAM
Join our team
What we do
MIND
>
Initial Wellbeing Consultation
Psychotherapy & Counselling
Psychometric Portfolio
Sports Psychological Interventions
Assessment & Therapeutic Services for Children
Speech & Language Therapy
Individual Mindfulness Training
Coaching
Executive Coaching
Customised Training (Soft Skills)
BRAIN / BODY
>
Psychiatric Assessment & Care
Medical Assessment & Care
Neurofeedback
Psychometric Testing & assessments
Occupational Therapy
Physiotherapy
Personal Fitness
Nutrition
REFLEXOLOGY
HEART
>
Psychotherapy & Counselling
Emotional Freedom Technique
Family Therapy, Couples Therapy & Relationship Enrichment
Coaching
Services of a Family Lawyer
SPIRIT
>
Psychotherapy & Counselling
Family Therapy, Couples Therapy & Relationship Enrichment
Coaching
Aromatherapy
Therapeutic Massage
Meditation & Yoga
PROGRAMMES
>
Home Support Programme
parent gym
Support for Organisations
>
peak performance
Whats on
WAYS TO WELLNESS WEBINAR
WORKING THERAPEUTICALLY TO HEAL THE INNER CHILD
PolarisKids
What is PolarisKids
StemLabs
Summer Wellbeing Club
The BodyBar
The Development Hub
Little Einsteins Club
Social Train
Webinars
>
Covid Support
Asks anything panel discussions
Resource bank
How Do I Talk To My Child About Their Adoption?
Coping As Best One Can, With Having a Parent Who Is Sick
how busy women can manage their stress
The Tindler Swindler
Newsletters
Press & Media
Read all about it
>
Love
mental health for teenagers
Gen Z -THE SPACE FOR YOUNG PEOPLE
what clients say
CONTACT US