On-Going Open Mens Group

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Once you complete this application, the therapist who is leading the group will contact you to share more about the group and give you the opportunity to decide if it is a good fit. If you determine that you want to continue, he will collect a $100 deposit that will secure your spot and cover the cost of the first two groups. Groups are $50 per session.

Fridays at 6pm

Elevated Counseling, 2727 Bryant St. #430, Denver

Your answers on this form are not confidential

Email *

First and Last Name *

Cell *

What are the best times to reach you? Please check all that apply. *

Weekday mornings

Weekday afternoons

Weekday evenings

Saturdays during the day

Sundays during the day

Required

This group meets every Friday at 6pm. This can be challenging for some guys and we want to be sure it works for you. Is this a good time for you to attend every week? *

Yes, it works every week

It works for me, but I might have to miss occasionally

It is a challenging night for me and I would prefer another time

What are your primary motivations for wanting to join this group? *

In your estimation, what are the benefits you will gain from joining this group? *

Is there anything specifically that you are working on that you would like help with in this group (your answer is optional)?

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