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AKEDA 18+ Eating Disorder Support Group
Please answer the following questions. We recognize that some of the Qs may be private or sensitive. You do not have to answer if you are not comfortable doing so. All answers will be kept strictly confidential and used solely for the purpose of developing and scheduling our ED support group. Our goal is to create a safe space that everybody can benefit from it, regardless of where you are in your journey or your specific "diagnosis" (note: you do not need a formal diagnosis to join or benefit from this group; as we know, access to care is very limited in our state). Please keep in mind that this will be a free support group for adults, NOT a therapy group, and it will be primarily peer-driven.
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How old are you? *
What part of Alaska do you live in? *
What is your gender identity (e.g., cisgender female, trans male, gender-fluid, etc)? *
What is your sexual orientation (e.g., straight, gay, lesbian, bisexual, etc.)? *
How long have you been struggling with an eating disorder and/or disordered eating behaviors? *
Have you ever been treated or gotten support for an eating disorder and/or disordered eating? Mark any/all that apply.
Do you have interest in joining our support group? *
Are any of the topics listed below something you would be interested in talking about during group? Mark all that apply.
Are there any topics that were not listed that you have interest in talking about?
What times of the week would work best for you? Mark all that apply. *
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Please provide your contact information (phone # and name) if you are interested so we can reach out to you with more details! *
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