General Membership

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General Membership

Welcome to a new beginning!

Email *

What is your name, age, & place of residence?

How do you currently feel towards yourself?

I am an incredible human being!

I am cool, but not the best.

I could use some work.

I am a horrible person.

Clear selection

Do you sometimes think about harming yourself or others?

Yes

Only when I'm mad

Other:

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Do you consume drugs or alcohol?

Yes, often

On occasion

Never

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Are you battling with stress/anxiety issues?

Yes

Sometimes

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Have you recently been able to focus?

Yes

Somewhat

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Are you having issues with sleep?

Yes

Clear selection

Do you feel optimistic about the future?

Yes

Depends on the day

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Do you work well with others?

Yes

Depends

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What does a day in the life look like for you?

Do you use art to express yourself?

All the time.

When I have the time.

Not really.

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What kind of art are you into?

Music

Painting/Graffiti

Fashion

Writing/Literature

Theatre

Dance

Spoken word

Other:

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How has art helped you deal with the stresses of life?

Is this art form a hobby or a career aspiration?

Are you currently in therapy? Why or why not?

In your opinion, which aspect of your life could use some improvement?

Housing

Education

Income

Relationships (family, friends, spouse)

Health

All of the above

None of the above

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Are you clear on your short-term personal & career goals? If so, what are they?

What, if anything, is slowing you down?

Professional Artists: Our peer specialists help you recover and complete your creative project. How can this benefit your career?

We focus on group therapy. How do you think group therapy can help you progress in your life and career?

List 3 things you believe are needed in order to achieve your goals.

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