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Spanish Grief Support Group/ Grupo de apoyo para DUELO
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Nombre y apellido
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Edad
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18 a 29 años
30 a 45 años
46 a 59 años
Mayor de 60 años
Email
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Telefono
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Quien le conto del grupo?
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Porque le gustaria participar?
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Cuales son sus expectativas de los encuentros?
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Cuenteme algo que usted quisiera que yo sepa de usted
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