Registration for 2020 Group Therapy Sessions

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Ensuring well-being during COVID-19 (Min Jung Doh, You&Me Psychological and Consultation Services)

□ Participants : 8 Foreign Residents
□ Fee: Free of Charge
□ Place: ZOOM Online Platform
□ Main Language to be Used: English
□ Registration Period: November 2th - 20th via Seoul Global Center Website
□ Registration: Click the link below to continue.
□ Contact: 02-2075-4130 / jhshim@sgc.kr

1. Full Name *

2. Birth Date *

YYYY

3. Cell Phone Number *

4. Email Address *

5. Where do you live? (e.g. Jongno-gu, Seoul) *

6. Nationality *

7. Visa Code (e.g. D2, D10, E2, etc.) *

8. How long have you been living in Korea? *

1. 1-4 years

2. 5-10 years

3. 10 years and longer

9. Gender *

1. Female

2. Male

10. Occupation *

11. What do you hope to talk about in group sessions? *

12. Any specific mental health concerns you currently have? *

13. Anything / Any topics you want to avoid? *

14. Do you have thoughts of suicide? *

15. [Consent to Collecting and Using Personal Information] We collect your information in order to complete your registration for 2020 group therapy sessions tailored to your situation. Collected personal Information is moved into our database until the sessions are over. You have the right to refuse the agreement; however, there may be following disadvantages such as constraints on the counseling. *

1. I agree.

2. I disagree.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms