Social Skills Group Therapy: Interest Form
Complete this interest screener if you are interested to participating in our 10-week social skills program for autistic adults, led by Dr. Osuna. Weekly 90-minute sessions cater to 6-10 autistic adults, with topics shaped by participant priorities and interests.

Structure
Who: Autistic Adults (aged 18+), 6-10 participants per group
What: Social Skills Group Therapy
When: Once per week, possibly on T/W/Th at 5pm - 6:30pm
Where: Virtual (secure telehealth video meeting)
How Long: 90 minutes per session
Cost: $100 per session ($1000 total)
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Do you have an autism diagnosis? *
Which times could you be available for a weekly group? *
Required
What are your hobbies or favorite activities? *
What types of social activities do you enjoy?
 *
Are there specific communication styles that make you more comfortable?
 *
Are there sensory sensitivities or preferences the group should be aware of?
 *
What goals do you have for participating in the social skills group?
 *
Are there specific social challenges or concerns you'd like to address in the group?
 *
How did you learn about this social skills group program (for example: from a specific person, group, clinic, website) *
Do you have any questions, feedback, or suggestions regarding the social skills group?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Greater Wellbeing. Report Abuse
Google Forms