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Contact us to learn more about The Equi Institute's Recovery Mentorship Program and how we might best support you.
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Preferred form of contact. Please share type (text, phone, e-mail) and the contact information.
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Name
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Pronouns
They/Them
She/They
He/They
She/Her
He/Him
Ze/Zey
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Other:
Gender- check all that apply
Woman or girl
Man or boy
Agender/no gender
Feminine-leaning
Masculine-leaning
Gender fluid
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Questioning
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Other:
Are you transgender?
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Do alcohol and substances have a negative impact on your life?
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I'm not sure
Are you seeking harm reduction specific supplies, services or resource navigation?
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Do you have experience with models of recovery, harm reduction or relapse? If so, which one?
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What role does drinking or substances play in your life? How does it make you feel?
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Whether you are already maintaining recovery or wanting to make a change, what kind of information or help are you hoping for?
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Is there anything else you'd like to share?
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