Resilient Rose Group Inquiry 
The Resilient Rose Support Group offers a compassionate and empowering support group for women who have experienced sexual assault. Inspired by the strength and beauty of the rose, our group provides a safe and nurturing space where survivors can connect, share their experiences, and support one another on their healing journey. Through shared understanding and mutual support, we aim to foster resilience, personal growth, and a renewed sense of empowerment. Join us in a community dedicated to helping you blossom into your fullest potential.
Email *
Name *
Age *
Email Address *
Phone Number *

What brings you to seek support in this group setting?

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Have you ever participated in a support group before? If so, how was that experience for you?

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Are you comfortable sharing whether your experience with sexual assault is recent or in the past?

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Are you currently receiving individual therapy or any other form of mental health support?

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Have you been able to disclose your assault to anyone in your life (e.g., friends, family, therapist), and what has that experience been like for you?

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How are you currently coping with the aftermath of your experience (e.g., emotions, flashbacks, anxiety, depression)?

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Are there any specific triggers that you’d like us to be aware of during group discussions?

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How do you typically manage difficult emotions or memories related to your trauma?

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What are you hoping to gain from this group (e.g., emotional support, coping skills, a sense of community)?

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Are there any topics related to sexual assault or trauma that you feel particularly anxious or hesitant about discussing?

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How do you feel about sharing your story or listening to others' experiences in a group setting?

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What do you need to feel safe and supported in a group environment?

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Do you prefer a more structured or open-ended discussion format for the group?

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Are there any topics or situations that may feel too overwhelming to discuss right now?

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Would you be open to providing support to others in the group, or do you prefer to focus more on receiving support?

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Do you feel ready to participate in a group setting, where others may be at different stages of their healing process?

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Are there any current life circumstances (e.g., ongoing legal matters, safety concerns) that may affect your participation in the group?

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What self-care practices do you currently use to take care of yourself after difficult conversations or emotional moments?

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How do you know when you need to step away or take a break from emotionally challenging situations?

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Is there anything else you’d like the facilitator to know about your needs or expectations for this group?

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When are you available to participate in group? *
Thank you for your interest in our group!
We will contact you by email or phone to inform you if you have been selected to participate in the group, along with the next steps to get started.  
A copy of your responses will be emailed to the address you provided.
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