General 简介
- Please read this document thoroughly as it concerns your well-being and that of other participants in every training or programme offered by Giving Tree Global Sdn Bhd (“GTG”). The words “training” and “programme” are used inter-changeably in this document.
这份文件关系到您和其他学员，在参与樹仁培训提供的培训课程中的健康状况，请您仔细阅读本文件。
Physical, mental and emotional health 生理﹑心理及情绪健康
- All trainings and programmes offered by GTG are designed for participants who enjoy physical, mental and emotional health.
樹仁培训的所有培训课程，是为生理﹑心理和情绪健康的人士所设计的。
- If you 如果您:
you must consult with your medical and/or mental health professional and resolve your concerns and any physical, mental and emotional issue completely before participating in any programme. GTG will on request provide you and your medical or mental health professional with such information about the programme as may be reasonably required to enable you to consult your medical or mental health professional and to make an informed decision whether to participate in the programme.
在参加任何培训之前，您必须先咨询您的医疗或心理健康的医生/专业人员，并解决一切有关生理﹑心理或情绪健康的问题。樹仁培训将根据要求向您和您的医疗或心理健康专业人员提供合理必要的培训课程资料，以便您的医生能合理的判断您是否具备资格参与我们的培训课程。
Physical activity 体力活动
- The exercises in the programme will involve physical activity and you must be responsible to yourself and other participants to always ensure that you do not exceed your physical limitations.
培训期间的练习将涉及体力活动，因此您必须向自己和其他学员负责，确保您在任何时候都不会进行超出身体负荷的训练。
Mental and emotional experience 心理和情绪体验
- The programme is designed to bring out the best and to enhance personal effectiveness by tapping into the personal potential of each participant. This may involve giving participants the opportunity to reflect on and examine their own thoughts and emotions and to explore how they can shift them into new patterns of thought and emotion which will serve them in a better way.
这个培训的目的是通过开发每个学员的个人潜能，提高个人效率，同时挖掘出他们最好的一面。这包括让学员有机会反思和审视自己的思想和情感，从而探索如何将其转变为新的思维和情感模式，以更好地支持他们。
- The processes designed for such a personal way of learning can involve participants experiencing or re-experiencing suppressed or forgotten thoughts and emotions. It is natural for many participants to find themselves initially resisting such thoughts and emotions before allowing themselves to resolve and to re-integrate them in a healthy way.
这个培训的设计是一种个人学习的成长过程。学员会在培训的过程中体验，或是再次体验那些压抑的，或是已经被遗忘的思想和情感。在用健康的方式去解决和重新整合它们之前，很多学员会很自然地发现自己一开始会很抗拒这些思想和情感。
- Feelings of anger, sadness, anxiety, excitement, etc, may surface and abreactions such as crying and laughing may occur as part of the process of resolution and re-integration. Many people can identify similar experiences in the privacy of their own lives, outside of any training or programme.
在培训的过程中，愤怒﹑悲伤﹑焦虑﹑兴奋等情绪，可能会以哭泣和大笑的形式表现和发泄出来。这些表现是解答和重新整合过程的一部分。很多人会在培训以外的个人生活中也有类似的体验。
- Such experiences are a natural, albeit not an everyday, part of a physically, emotionally and psychologically healthy life.
尽管以上所述的那些情绪反应并不是每一天都会发生，但那些都是日常生活中，生理、情感和心理健康的自然反应。
- However, if you have any concern over encountering such experiences for yourself or in other participants or have any concern about being able to deal with such experiences, please discuss your concern with a GTG staff.
如果您担心自己或是其他学员，无法处理以上所描述的那些情绪反应，请您与樹仁培训中心职员进行沟通。
- If at any time during the programme you feel uncomfortable to a degree that you think is excessive, please report it immediately to the trainer or to a GTG staff.
在培训期间的任何时候，如果您感到非常的不适，请立即向樹仁培训导师或中心职员报告。
What the programme is NOT 这项培训不是
- The programme is NOT intended or designed to serve as 此项培训并非旨在或用作以下功能:
- therapy 治疗
- counselling 辅导
- resolution of mental or emotional problems 解决心理或情感问题
- emotional support 情感支持
- psychological support 心理支持
- The programme is NOT a substitute for professional help.
此项培训不能代替专业辅导。
- The programme is NOT a substitute for professional help.
此项培训不能代替专业辅导。
Substance dependency 物质依赖
- It is of fundamental importance that participants abstain from taking any alcohol or nonprescribed, mood-altering drugs, whether during or outside of the training sessions in the programme.
至关重要的一点是，在课程期间无论是在培训进行与否的时间，学员都禁止服用任何含有酒精成分或是会影响情绪的非处方药物。
- You should NOT participate in the programme if you are unable to refrain from taking alcohol or any non-prescribed, mood-altering drug as required by the programme.
如果您无法按课程要求避免服用任何含酒精成分或是会影响情绪的非处方药物，则不应参加此培训课程。
- Do NOT look to the programme as a solution or support for any dependency problem or issue.
请不要把这项培训看作是任何依赖性问题的解决方案或支持方案。
Please answer ALL the following questions completely and follow the directions at the end of the form.
请按照表格要求回答以下所有问题。
The information you provide will assist our trainers and staff to better support your participation. All your answers will be kept confidential.
您提供的信息会帮助我们的导师和职员更好地支持您参与这项培训。您的答案将被严格保密。
- Are you undergoing treatment for any physical, mental or emotional condition?
您正在接受任何生理﹑心理或情感健康方面的的治疗？*
1a. If Yes, please describe fully： 如果是，请详细说明：
* If you are currently taking medication prescribed by your doctor, you will be asked to continue to take your medication as prescribed during the programme. 如果您目前正在服用处方药物，在这项培训期间您会被要求继续服用该药物。
- Do you feel unwell in any way or depressed or have difficulty in sleeping or suspect that you have a physical, mental or emotional condition that you should see a doctor or therapist about?
您是否感到身体不适、抑郁或难以入睡，或怀疑自己在生理﹑心理或情感方面需要咨询医生或治疗师？*
2a. If Yes, please describe fully： 如果是，请详细说明：
* If Yes, we recommend that you consult with your doctor, therapist or counsellor and resolve your concerns, symptom or uneasy feelings before participating in the programme. 如果是，我们建议您在参与这项培训之前，先咨询您的医生﹑治疗师或心理辅导师，并解决您的生理或心理上的不适状况。
- If you are female, are you, or do you suspect you may be, pregnant?
如果您是一位女性，您是否正在怀孕，或怀疑自己可能怀孕了？*
- Do you suffer from high blood pressure or heart disease?
您是否患有高血压或心脏疾病？*
4a. If Yes, please describe fully, including dates of illness: 请详细说明,包括患病日期:
- Have you ever had a heart attack, stroke, or an epileptic seizure?
您是否曾经有过心脏病﹑中风或癫痫发作的经历？*
5a. If Yes, please describe fully, including dates of illness: 请详细说明,包括患病日期:
- Have you ever sought therapy or counselling of any kind, or has therapy or counselling been recommended for you?
您是否曾经或正在，寻求或被推荐接受任何的治疗或心理辅导？*
6a. If Yes, please describe fully, including the type of therapy or counselling, approximate beginning and ending dates, the problem or condition you sought help for: 如果是，请详细说明，包括治疗/辅导类型，开始和结束的日期，以及您寻求帮助的起因:
6b. If Yes, do you feel that the therapy or counselling was successful? 您认为那次治疗/辅导是否成功？
- Have you been diagnosed as having anxiety, depression, bipolar disorder, had a “nervous breakdown”, or any other emotional or psychological or psychiatric condition?
您是否曾经被诊断出患有焦虑症、抑郁症、躁郁症、有过“精神崩溃”，或是发生过其他任何情感、心理或精神方面的状况？*
7a. If Yes, please describe fully and list any medications you have been prescribed to treat the condition: 如果是，请详细说明和列出您服用过的任何处方药物：
* If Yes, you may not be eligible to participate in the programme at this time. 如果是，您或许不具资格参与这项培训。
- Do you have any parent, sibling or child (or any of family members) who has ever been diagnosed as having anxiety, depression, bipolar disorder, had a “nervous breakdown”, or any other emotional or psychological or psychiatric condition?
您的父母、兄弟姐妹或是孩子(或家族成员)是否曾被诊断出患有焦虑症、抑郁症、躁郁症、有过“精神崩溃”，或是发生过其他任何情感、心理或精神方面的状况？*
8a. If Yes, please describe fully: 如果是，请详细说明：
- Have you been prescribed medication used to treat any form of anxiety, depression or any kind of psychiatric disorder, such as Libirum, Atvian, Klopapin, Xanax, Dormiucm, Elavil, Prozac, Zoloft, Celexa, Cipram, Prothiaden, Thorazine, Haldol, Stelazine, Risperdal, Zyprexa, Dogmatil, Lithium, Gabapentin, Depakote,etc?
您是否曾经服用过针对焦虑、忧郁或任何精神失调方面的处方药物，例如：利眠宁、络艾塞半、氯硝安定、赞安诺、速眠安、阿米替林、百忧解、左洛复、西酞普兰、度硫平、氯丙嗪、易宁忧、乐利静、维思通、再普乐、多马所、碳酸锂片、加巴喷丁、德巴金片等等？*
9a. If Yes, please describe fully, including the type of prescribed medication, approximate beginning and ending dates, the reason: 如果是，请详细说明，包括处方药物的学名，开始和结束的日期，以及您服用的起因:
- Have you ever been hospitalized for a mental or emotional disorder or a nervous breakdown, or has such hospitalization or treatment been recommended?
您是否曾经因为接受心理、情感失调或精神崩溃的治疗而住院或被建议住院？*
10a. If Yes, please describe in full, including the dates of hospitalization and the reason: 如果是，请详细说明，包括住院治疗的日期和起因：
- Have you ever planned or attempted suicide?
您是否曾经企图自杀？*
11a. If Yes, please describe in full, including the dates of any attempts and the reason: 如果是，请详细说明，包括尝试日期和起因：
- How many hours of sleep do you normally get in a day? (Please take responsibility for getting sufficient sleep throughout the programme.)
您通常一天的睡眠时间是几小时？（请确保在参与整个培训的过程中获得充足的睡眠。）*
- Have you taken any non-prescribed, mood-altering drugs, such as marijuana, cocaine, Ecstasy, methamphetamines (speed, ice, crack, jus), or others?
您是否曾经服用过任何能影响情绪的非处方药物，如大麻、可卡因、迷幻药、兴奋剂（安非他命、冰毒、摇头丸﹑果汁），或其它药物？*
13a. If Yes, please describe fully, including the type of non-prescribed medication, approximate beginning and ending dates, the reason: 如果是，请详细说明，包括非处方药物的学名，开始和结束的日期，以及您服用的起因:
13b. Can you abstain from taking any non-prescribed, mood-altering drugs for the entire training and event days? 您是否能够在培训期间停止服用那些影响情绪的非处方药物：
- On average, how often do you take alcoholic drinks, such as beer, wine, whiskey, gin, brandy, or others?
一般来说，你平均多久会饮用含酒精的饮品，如啤酒、葡萄酒、威士忌、杜松子酒、白兰地或其他？*
14a. Can you abstain from taking any alcoholic drinks for the entire training and event days? 您是否能够在培训期间停止饮用任何含酒精的饮品？*
- Do you have any concerns over encountering or being able to deal with uncomfortable or unfamiliar feelings and emotions for yourself or in other participants?
您会担心自己或是其他学员，在面对或处理任何不舒服或不熟悉的感受和情绪时，会有所顾虑？*
- Do you feel that you are being pressured to attend this training by a family member, friend or employer or as a condition of employment?
您是否认为自己是被亲友或公司老板强迫、或作为就业条件而被迫参加这项培训课程？*
16a. If Yes, please describe fully: 如果是，请详细说明:
- Do you have any needs or physical limitations that will interrupt your participation in the programme or require special arrangements? (e.g.: Wheelchair or other special seating requirements, Limitation on physical movement or positioning, Specific timing for food or drink, Specific timing for medication or others)
在培训的过程中，您是否会因为生理的限制或需求影响您的参与？或是您需要任何特殊的安排？(例如: 轮椅或其他特殊的座位需求、身体运动或姿势的限制、特定的饮食时间、特定的服药时间或其他) *
17a. If Yes, please describe fully: 如果是，请详细说明:
- Do you suffer from asthma? (If Yes, please ensure that you have 2 sets of inhalers or medication, one to be kept by you and the other, labelled with your name, to be kept available in the training room.)
您是否患有哮喘病？如果是，请您确保准备两套氧气吸入器或药物。一套由您来保管，另一套标明您的姓名，存放在培训室内以备使用。）*
- Do you have any allergies?
您是否患有任何过敏症？*
19a. If Yes, please describe: 如果是，请说明:
I hereby declare that (if you agreed, please tick each of it): 我特此声明 (若同意，请在每一格打勾)：*
Two persons to contact in case of emergencies are: 如有紧急情况，两位相关人士的联络方式：*
Contact Person 联系人 1
Contact Person 联系人 2
These rules, which are integral to the consistency, integrity and quality of the GTG Discovery Training, will be reviewed during the first session and you will be asked to agree to these rules as a condition of your participation in the Discovery Training.
这些守则，对于樹仁培训探索课程的⼀致性，诚信和质量是不可或缺的。基本守则会在课程的第⼀环节给与检视，并征询您同意这些守则，作为您参与探索课程的条件。
If you agreed, please tick each of it: 若同意，请在每一格打勾：*
