Graduate ADHD Support Group - Student Interest Form

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We welcome all students to a weekly support group for students who struggle with executive function, whether or not they are formally diagnosed with ADHD. One group will runs once a month. If you sign up, you become part of our mailing list and receive reminders the week and day of all sessions. Contact sara.siwiecki@yale.edu with any questions.

Student First Name

Student Last Name

Yale NetID

School

Graduation Year

In what areas would you most like support?

Do you prefer in-person or virtual meetings?

in-person

virtual

either

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In general, what time of day works best for you for meetings?

Mornings (9am-11am)

Lunch time (11am-1pm)

Afternoon (1pm-5pm)

Evening (5pm-9pm)

Formal diagnosis is not required for participation in the support group, but can be helpful in understanding the needs of our group. Do you have a formal diagnosis?

Yes, I was diagnosed while at Yale

Yes, I was diagnosed before getting to Yale.

No, I experience symptoms but am not formally diagnosed.

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