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DV Support Group Registration
Please fill out this form to register for one our support groups. We will contact you soon to follow up.
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Name: *
Phone Number: *
Email Address: *
How did you find out about this group? *
What brings you to this support group? *
What do you hope for from this group? *
Have you participated in NWFL's DV 101 support group before? *
If no, would you participate in DV 101 before joining a women's support group? (We recommend taking DV 101 first, before joining a women's support group to get a better understanding of what violence is). *
What day and time is best for you to join DV 101? *
Are you currently seeing a therapist? *
If you are currently seeing a therapist, have you discussed the topic of domestic violence with them? *
If you are not seeing a therapist, would you be interested in seeing one? *
Are there any books, blogs, or podcasts about DV that you've read/listened to that you like and recommend?
Do you have a DV protection order currently? *
Do you have children? If so, do they live with you? *
Are you currently living with an abusive partner? If not, how long have you been separated from them? *
Is your partner currently in a domestic violence intervention treatment program? If so, with what organization and person are they in treatment with? *
How safe do you feel in your current place of residence? *
What day and time is best for you to join the women's support group? *
Carol's group is currently on paused, until further notice.
We are glad you reached out to us, because you are not alone.
We will contact you shortly to follow up.
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