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Autistic Adults
Support Group Interest Form
Welcome! We are delighted you are here. Please fill out this form to let us know you are interested. We will keep you apprised of when we can start up.
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Email
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Your email
First name
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Your answer
Last name
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Your answer
Phone number
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Your answer
TOPICS OF INTEREST
We will tailor each session to the participants' greatest interests. Please rate each topic we might cover based on how much you would like to discuss it or learn about it.
Executive functioning skills
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Relationships and connection
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Extremely Interested
Emotional regulation and meltdown prevention tips
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Extremely Interested
Identifying emotions/
alexithymia
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Managing sensory needs/sensory overload
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Extremely Interested
Building a sensory toolkit
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Extremely Interested
Overwhelm and burnout
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Extremely Interested
Warning signs of unhealthy relationships
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Extremely Interested
Managing money
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Extremely Interested
Success at work strategies
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Other (Please describe)
Your answer
ABOUT ME
Tell us a little about you!
What formal diagnoses do you have? It's okay to say N/A if you don't not have any or don't wish to share. A diagnosis is not required to join this group.
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Your answer
How old are you? (This group is limited to adults 18+)
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Your answer
What is the biggest challenge or concern you have right now?
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Your answer
Please confirm your interest
*
I would like to be on the list to hear about future dates
How did you hear about this group?
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Therapist Recommendation
Agency Referral
Friends or Family
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Send me a copy of my responses.
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