Group Interest Form

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Group Interest Form

Thank you for filling out this interest form! I will confirm that I have received your submission, and will be in touch as groups of individuals with similar priorities develop.

Email *

Record my email address with my response

What is your neurotype?

Autistic

ADHD

AuDHD (autistic and ADHD

Neurotypical

Brain injury

Other:

Clear selection

What is your age?

6-10

10-13

14-18

19-24

24-35

35-50

50+

Other:

Clear selection

If you do not want to share your age, what general stage of life are you currently experiencing?

School (K-12)

Early adulthood (college or first full time jobs)

Adulthood without small children

Raising children

Middle age

Retirement

Other:

Clear selection

What are your passions? (Neurodivergent people often have strong passions or areas of interest. They are known as special interests, monotropic interests, hyperfixations, passions, etc.) If you are neurodivergent, what are the things that light you up inside? What do you love to do/think about/talk about?

What are you hoping to gain from being a part of a group?

Social opportunity/friends (neurodivergent people)

Commiseration, affinity, problem solving, and support (neurodivergent people)

A greater understanding of my neurotype (neurodivergent people)

Strategies to manage areas of challenge in my life...and opportunities to share the strategies I already have. (Neurodivergent people)

Information on how to better support and show up for my neurodivergent loved one (neurotypical or mixed-neurotype people)

Other:

Clear selection

Are you a member of a marginalized community beyond your neurotype?

Yes

Clear selection

As a member of a marginalized community beyond your neurotype, are you looking for a group which shares your lived experience of intersectionality? (Feel free to share the specifics of the group you are seeking). I will do my best to connect you both with other providers who can share this space with you and with other individuals seeking a similar group experience.

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