Slumber Party Questionnaire
Congratulations on taking this step to becoming more comfortable discussing healthy sex and relationships with yourself and others. We'll spend 2 hours together, talking about a bunch of the stuff included in this questionnaire. 

The information here will help me guide the program to what you most need and want. And remember, you DO NOT need to share anything that you don't want to. Share only what you are comfortable disclosing.

The contact info you share at the end is clearly marked with THIS WILL BE SHARED WITH THE GROUP. All other answers are private and will only be seen by Julia.

PLEASE NOTE: Any grown ups you have listed on this form will be sent a link to a consent form. A valid consent form is required to participate. ONLY Julia will see your answers to these questions.
Email *
First and Last Name *
Preferred Name (to be used in the group) *
Preferred Name to be used with parents/guardians *
A grownup in my life can be reached at this email address (note: Julia will send a consent form): *
Other grownups in my life can be reached at the following email addresses (note: Julia will send a consent form):
Pronouns (she/her, he/him, they/them, ze/zir, etc.) *
Timezone you are in (search if uncertain, please) *
So that I know your background (select all that apply): *
Required
What is your most pressing concern or question right now? *
Are there any questions you would LOVE to ask?
What is one topic you would definitely like to discuss in our group? Feel free to use one of the options in the next question. *
Which topics are filling up your brain space the most right now? Or, what shall we chat about? *
Required
What do you want me to know about you before we start? E.g. You will shut off your video if you become super anxious, but will still participate.
Is there anyone else you would like to be in a group with?
I give Julia permission to use photos or video for promotional material. I understand that all materials will be sent to me and the grown ups listed above prior to release for confirmation of said permission. *
What are the socials you'd like to share with the group?  Please list maximum 5.
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