Authentic Healing Group

This form is only 10 questions (including contact info) so please take your time with it.

Contact me directly with questions or thoughts.


Text: 323.553.0013
Email *
Your Name
Phone - for text updates on this group
Your address, we will work through a few workbooks I will be mailing to you.
How did you hear about our Authentic Womens Group?
How has this time in the pandemic been for you, in summary?
What kind of supports are you most needing at the moment?
Is Monday (1-3 PST) or Wednesday (5-7 PST) better for you? need a different time?
Clear selection
If you needed another time, do not fret, we will be opening other groups soon. What time would work best for you? Can we call you to talk about times?
Is there anything more that you would want me to understand about you before joining the group? Trauma's you have been through, your current situation, or what you really are needing....Please share openly, this is for my eyes only.
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