Preparing For Your Bariatric Surgery Support Group
Thank you so much for your interest in this group! I am excited to know that you are interested in discussing your journey in this space! Below, you will find some essential questions before we schedule our 15-minute video consultation to see if it feels like the best fit for you!

You will:
-Process
-Visualize
-Journal
*All in a safe space!

What you would be receiving in this group:

*A 5-week support group that supports you to explore your desires, your concerns, and exploration of what is needed as you venture into a new aspect of your life with bariatric surgery. (valued at $800+)
*Journal Pages from my workbook
*Community of fellow pre-bariatric patients looking to take their first step along their journey (PRICELESS)


Fee for the group and all of the bonuses above: $200

If you have any questions, feel free to email: amber@amberboydtherapy.com 
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Name (First & Last) *
Please feel free to share the pronouns that you use *
Best phone number for you? *
Best email *
Where did you hear about the group? *
What are you hoping to receive from this group? *
What can you provide to the betterment of the group? *
What questions or concerns do you have about entering into the group? *
Have you participated in group(s) before? *
Can you provide the name and details of the group? *
Do you feel comfortable sharing and participating in the group discussion? *
Can you attend consistently? It is a 5-week commitment *
The group is set to meet on Saturdays, please vote on your ideal time (please keep in mind that it will be set in Central Standard Time) *
With the available times above, please select your 2nd, 3rd, etc. option *
Please be aware that completing this form does not guarantee that you will be in the group. By clicking the box below, you are stating that you understand. *
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