Interest List for 9/1/22 Anxiety Book Club, Future Book Clubs and Therapy Groups

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Email *

First Name *

Last Name *

Times that I could attend for the next Anxiety Book Club. The book club will start September 1st, 2022 and run for 12 weeks. Each session will last 90 minutes.

My FIRST choice of times for the book club is: (You may select one to three times if more than one time works for you.)

Thursdays at 11:30am PST

Thursdays at 1:45pm PST

Thursdays at 5:45pm PST

I cannot attend any of the times above but am interested in alternate times

I am not interested in the next Anxiety book club on When Panic Attacks

Required

My SECOND choice of times for the book club is: (You may select one to three times, if more than one time works for you.) *

Thursdays at 11:30am PST

Thursdays at 1:45pm PST

Thursdays at 5:45pm PST

Only my first choice time above works for me. None of the other times work for me.

I cannot attend any of the times above but am interested in alternate times.

I am not interested in the next Anxiety book club on When Panic Attacks.

Required

My THIRD choice of times for the book club is: (You may select one to three times, if more than one time works for you.) *

Thursdays at 11:30am PST

Thursdays at 1:45pm PST

Thursdays at 5:45pm PST

Only my first and second choice times above work for me. The third time doesn't work for me.

I cannot attend any of the times above but am interested in alternate times.

I am not interested in the next Anxiety book club on When Panic Attacks.

Required

If you cannot attend any of the times above, please list days and times that you could attend in PST (Pacific Standard time) below:

The book club is $24 per week for 12 weeks, but we are offering a sliding scale as low as $12 per week for those that need a discount. The full amount for all 12 weeks is due in advance. Please indicate what you can afford below: *

I can afford the full payment of $288 in advance, which is $24 per week.

I can afford $24 per week, but cannot afford the full $288 in advance. I would need to split up the payments.

I can only afford $20 per week. This means I can afford a payment of $240 in advance.

I can only afford $16 per week. This means I can afford a payment of $192 in advance.

I can only afford $12 per week. This means I can afford a payment of $144 in advance.

I cannot afford $12 per week or $144 in advance and would need a further discount to attend.

I'm not interested in the current Anxiety Book Club

If you cannot afford the discounted rate of $144 in advance and are interested in the upcoming Anxiety book club, please list below what you could afford:

I'm interested in future book clubs or groups on: *

Depression

Self-Esteem

Relationships

Communication Skills

Romance and Dating

Parenting

Anxiety

Chronic Health Issues and Psychosomatic Pain

Weight Loss

Meditation and Mindfulness

Habits

Addictions

Buddhist Business Practices and Cognitive Behavioral Therapy to Create Wealth

Buddhist Practices for Attracting and Keeping Romantic Relationships

Realtime CBT - To learn to use CBT and TEAM-CBT skills in everyday life

TEAM-CBT Practice Group - Learn all 50 methods of CBT and TEAM-CBT!

Groups for Therapists

Bipolar Disorder Book Club

OCD Book Club

Social Anxiety Book Club

Other Anxiety book club for specific diagnoses (such as PTSD, GAD, OCD, Phobias, etc.)

Required

California Only: Interest in Future Group Therapy. I live in California and am interested in the following future therapy groups:

Anxiety Therapy Group

Depression Therapy Group

Habits Therapy Group

Addictions Therapy Group

Relationships Therapy Group

Communication Skills Therapy Group

Therapy Group for Therapists

Self-Esteem Therapy Group

Romance and Dating Therapy Group

Parenting Therapy Group

Chronic Health Issues and Psychosomatic pain Therapy group

Weight Loss Therapy Group

Bipolar Disorder Therapy Group

OCD Therapy Group

Social Anxiety Therapy Group

Other Anxiety Group for specific diagnoses (such as PTSD, GAD, OCD, Phobias, etc.)

I'm interested in some other type of group not listed above. Please include in which state or country you are located.

A copy of your responses will be emailed to the address you provided.

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