Interest Form - A.N.B.U Group Therapy Model

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Thank you for your interest in Pathways to Healing. Please fill out this form to share about your interest in learning more about this model and any further thoughts you may have about the group therapy model.

Email *

Your Name and pronouns

Did you attend the event Pathways to Healing? *

Yes, I was there.

No, I didn't.

Did you intend to participate as an individual or as an organization?

As an individual

As an organization

Other:

Clear selection

Please identify the equity-seeking communities you work with and/or the focus of your work. (E.g. GBV work with refugees) *

Would you be interested in connecting with A.N.B.U. to access or adapt this model for your community? *

Yes

Unsure at this time

Do you have any specific concerns about implementing a group therapy model in your practice or organization? If so, please share with us.

Would you like to stay connected about future events and updates related the A.N.B.U. Group Therapy Progam Model? *

Yes

Maybe

If you attended the Pathways to Healing event, please share responses to the questions below:

Did today's event meet your hopes and/or expectations?

Yes

Other:

Clear selection

Did you find today's event helpful in understanding the key components of the A.N.B.U. Group Therapy Model?

Not helpful

Somewhat Helpful

Quite/Very Helpful

Clear selection

Please provide any additional feedback or suggestions that you would like to share.

Thank you for completing this form.

Please note that your responses will remain confidential and will be used solely for the purpose of determining next steps that A.N.B.U. will take to share this model with other communities. Thank you for your participation.

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