Unmasking Careers Group Form
Thank you for your interest in our Unmasking Careers group, which will meet beginning Thursday October 16, 2025 through Thursday December 11, 2025* from 6:00pm - 7:30pm (or 7:15 depending on group size).

Please answer the questions below. Once you complete this form, a therapist will reach out to you soon using the contact information that you provide to answer any questions you may have and to discuss if joining this group is right for you.

*No group will be held Thursday, November 27
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What is your full name? *
What is your email address? *
What is your phone number? *
What is your gender identity? *
This group is designed specifically for individuals who currently identify as female or were assigned female at birth and continue to identify with aspects of the female experience.
What are your pronouns?
What is your age?
This group is specifically designed for adults 18+
What neurotype do you identify with?
 *
Neurodiversity refers to the natural variation in brain function and cognitive styles that exist among individuals.
Required
Do you have a mental health diagnosis? If yes, please list it below. Include the approximate age you were diagnosed. *
What is your primary motivation for joining the Unmasking Careers group? *
What is your current employment status? *
On a scale of 1-5, how comfortable do you feel sharing about your emotions (such as shame, overwhelm, or self-doubt) in a group setting? *
Not at all comfortable
Very Comfortable
What, if anything, would help us make this group more supportive or accessible for you?
Where did you learn about this group? *
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