Registration form - A part to apart : Group therapy for divorced and separated women in India
The support group's meetings start on 4th of March 2022 and end in August  2022. Please note that the group membership is capped at 8 women. These sessions will be conducted weekly on Zoom every Friday between 5 PM to 6:30 PM.  There will be 20 sessions in total, each session lasting for 90 minutes.  

We request you to read the program brochure and FAQs about the therapy group before you register. You can access the brochure at http://alternativestory.in/wp-content/uploads/2022/02/Brochure-A-Part-to-Apart.pdf

Charges are Rs. 600/- per session and the total cost of the program is—600 multiplied by 20—Rs 12,000/- (inclusive of 18% GST).  Do check the brochure for the different payment and discount options.

Once we receive your registration form you will receive an email to schedule an assessment appointment where an assessment of your needs will be done. This will include a discussion on what other alternatives might be available to you if your current needs are not something that might be met by the group therapy program. Please bring any questions and concerns about the group and the processes it will follow to this meeting.

I look forward to meeting with you for the initial assessment!

Each group member’s presence will contribute towards maintaining group integrity, which in turn makes a difference to how well the process of group therapy works. Please join the group only if you can commit to attending almost every meeting.

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I read the brochure before registering for the program
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I know that I am expected to commit to being present for all sessions as the group members will be depending on me for support as much as I will depend on them
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Full name
Your Pronouns
Email ID
Contact number
Age
Location
Relationship Status
How long were you married to your partner?
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Reason for divorce / separation
In which year was divorce granted?
How did you find out about the group therapy program?
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How would you rate the support available to you while going through your divorce / separation ?
Very Poor
Excellent
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Have you been to individual therapy before?
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Are you in therapy at the moment?
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Have you been part of a therapy or support group before?
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What are some of the expectations you have of the therapy group?
Are there any concerns that you would like to discuss before joining the group therapy program?
I understand that I will have to pay for all 20 sessions.
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