Group Interest - CBT Baltimore
Thank you for your interest in attending a group with CBT Baltimore. We are interested in what types of therapy/support groups might be of interest to members of our community! Please fill out this quick survey to let us know your thoughts. If you'd like to hear about upcoming groups, available services, and news relating to mental health please include your email address.

We will be in touch once we get closer to the group starting.
Sign in to Google to save your progress. Learn more
What type of group would you be interested in attending?   *
Required
Who would be attending this group?
Clear selection
Age of individual attending group:
What gender does this person identify as?
Clear selection
What time of day would absolutely NOT be an option for attendance?
Your name:
Phone Number: *
Email Address: *
(This will only be used if you respond yes to the next question about receiving information via email about upcoming groups)
Today's Date: *
MM
/
DD
/
YYYY
Would you like to receive information via email about upcoming groups?
Clear selection
If you’re not already signed up for our newsletter, would you like to receive updates from CBT Baltimore and other mental health resources?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CBT Solutions of Baltimore. Report Abuse
Google Forms