Application - Relationship Resilience Group

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It’s important to make sure that you and the group are a great fit for each other. There are two levels to discern that. (1) All prospects fill out an initial application. Then I'll call and we'll schedule a 20 minute meeting. (2) If the group is already full, we'll add you to the waiting list. Or we'll talk through your options.

Email *

Name *

First and last name

Phone number and best time to call:

What draws you to the group at this time? *

What challenges have you had in previous groups? *

I've not had group experience before

I had a hard time listening to others

The facilitator talked too much

I was too quiet while others dominated

I felt judged or criticized

It didn't meet my needs

I tried to fix others in the group

None. I've loved being in groups as a participant

Other

Other:

Required

What positive experiences have you had in previous groups? *

Again, I've not been in groups before (including Sunday School, Church small groups, etc)

I felt a sense of belonging

I felt heard and understood

I was able to get unstuck

Other

Required

What would you like to get from being in the "Relationship Resilience" group? *

Support - I'm too isolated with all the changes I'm going through

I need help with doing the next right thing

I need skills and accountability i.e. assertiveness, confidence, communication

I need clarity and sense of purpose

All of the above

Other:

Required

What else is important for me to know?

Send me a copy of my responses.

Submit

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