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LUNA Community Care
LUNA Community Care is an online and in-person peer led support space for Neurodivergent adults. Our mission is to create a disability justice cooperative community for Neurodivergent peers to give and receive care, learn from one another, and experience joy! We are looking for your feedback, as potential members of LUNA Community Care.
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Name/Preferred Name:
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Your answer
Email Address:
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Your answer
Phone:
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Your answer
Current City:
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Your answer
Preferred Method of Communication:
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Phone Call
Text Message
Email
Other:
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Do you identify as Neurodivergent (ex. Autistic, ADHD, Dyslexia, Dysgraphia, Dyscalculia, Dyspraxia, OCD, Tourette Syndrome, PTSD, Anxiety, Schizophrenia, Bipolar I or II, Intellectual Disabilities, etc)?:
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Yes, and I have a clinical diagnosis
Yes, and I’m self-diagnosed
I am questioning one or more of these diagnoses
No, but I’m interested in supporting LUNA as an ally
Other:
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As a Neurodivergent adult, what are some of the barriers that you’ve experienced in the community, in terms of access to care/support?
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Your answer
If you become a member of LUNA, which of the following services would you be interested in participating in (choose as many as apply):
1:1 Peer Support
Drop-in Peer Space
In-Person or Virtual Groups
Special Interest Clubs
Community Events
Trainings & Workshops
Are you interested in getting trained as a peer support specialist?
Yes
Maybe
No
Would you be interested in the following peer groups at LUNA (feel free to make suggestions)?
Executive functioning
ND parenting
Chronic illness
Genderqueer/trans
LGBTQIA+
ND providers
BIPOC
Relationships
Hearing voices
Suicide survivors
None of these groups are of interest to me
Other:
Would you be interested in the following special interest club at LUNA (feel free to make suggestions)?
Gaming
Cosplay/Costume making
Gender affirming makeup
Arts & crafts
Writing/poetry
Somatic movement/dance
None of these clubs are of interest to me
Other:
Do you have any other suggestions for clubs, activities or groups at LUNA?
Your answer
LUNA will offer cooperative monthly memberships to individuals who want to access the space, groups, clubs and other activities. We plan to charge $50 a month for membership, which will include access to the drop-in space, 1:1 peer support, and 2 groups/clubs per week, with reduced member rates for additional programming. There will also be a sliding scale fee for folks who do not want to commit to a monthly membership, but are interested in attending groups, clubs and community events. We will offer sponsored discounted and free membership options and/or provide memberships in exchange for donations of your time to help LUNA.
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This fee structure works well for me
I am interested in membership, but would require sponsorship
I do not plan on becoming a member, but would be interested in attending LUNA events (sliding scale cost)
I am interested in sponsoring membership for another member of the community
Other:
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Are there any specific accommodations that you would require in order to attend in-person or online programming at LUNA?
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Your answer
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