Support Group (pre-screening)
Thank you for expressing an interest in group therapy. 

This pre-group screening provides an opportunity for me learn more about potential members, their individual and group goals, and to determine whether this group would be appropriate.  

I know that this kind of support is sometimes hard to find, but I think it's important to remind ourselves that we are not alone in our experiences!  Please review and answer accordingly: 
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Email *
Select Group *
Full Name *
Phone number

Have you attended any counseling or support groups in the past? *
If yes, what type of group, and what did you find helpful? What did you find unhelpful?
What are you hoping to achieve or get out of group therapy? *
Are you currently accessing individual counseling or specialist support services? 
 *
There is no expectation that members disclose any sensitive personal information, but parts of people’s experiences are often shared in discussions. Are you ok with this? *
Consistent attendance is imperative to reap the benefits/support from the group. It also helps members feel safe, and build trust to develop a sense of community. Can you commit to attending group meetings 1 day a week for 90 minutes for the full 8-weeks (not counting unforeseen circumstances)? *
Are you able to attend group meetings in person at The Village Place? *
Select 2-3 days/times that would work best for you. *
Required
Are there any current mental health difficulties or life circumstances that may impact your participation? (i.e. current well-being, suicidal ideation, medications, technology).
 *
Will you need special accommodations? *
Thank you for participating in the pre-group screening. Do you have any additional questions or concerns about the group that you would like to discuss? 
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