Thank you for your interest in our upcoming Women’s Support and Empowerment Group! Your responses will help us tailor the group to meet your needs and preferences. Please take a few minutes to complete the following questionnaire:
Desired Topics of Interest**
What topics are you most interested in exploring in the group? (Select all that apply)
Desired Topics of Interest**
What topics are you most interested in exploring in the group? (Select all that apply)
Preferred Days of the Week***Which days of the week work best for you to attend the group? (Select all that apply)
Preferred Days of the Week***Which days of the week work best for you to attend the group? (Select all that apply)
Preferred Time of Day*** What time of day would you prefer the group to meet? (Select all that apply)**
Preferred Time of Day*** What time of day would you prefer the group to meet? (Select all that apply)**
Preferred Frequency of Meetings***
How often would you like the group to meet?
Preferred Frequency of Meetings***
How often would you like the group to meet?
Preferred Group Size***
What group size would you feel most comfortable with?**
Preferred Group Size***
What group size would you feel most comfortable with?**
When it comes to mental health counseling, choosing to pay out of pocket rather than going through insurance can offer several key benefits. Please click the link below for an explanation of benefits to private pay therapy services.
Pricing and Affordability****
Which payment option would you prefer? (Select all that apply)**
Pricing and Affordability****
Which payment option would you prefer? (Select all that apply)**
**Additional Comments or Suggestions**
- **Please share any additional thoughts, suggestions, or preferences you have for the group:**
**Additional Comments or Suggestions**
- **Please share any additional thoughts, suggestions, or preferences you have for the group:**