Group Therapy Interest Form
Thank you for your interest in a future group. Please fill in the questions below and we'll be in touch when the next group is scheduled.
Name
Pronouns
Email
Which group(s) are you interested in?
Attachment: From Surviving to Thriving (w/ Melony)
Undermothered (w/ Melony)
Rest & Resonance: Sound Bath Therapy Group (w/ Melony)
B. Visible: A Bi+ Support Group (w/ Cassidy)
Nurturing our Needs: Expressive Arts Therapy Group for Eating Recovery (w/ River)
How do your personal goals fit with the purpose of the group?
When are you available to meet?
Weekday evening
Saturday morning/afternoon
When are you not available to meet? (general days or times)
How would you like to meet for this group? Select all that apply.
In person
Online
Any additional comments or questions?
How did you hear about this group?
Partner/Family
Friend/Colleague
Social Media
Therapist
Other
Send
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