Buried in Treasures (BiT) Group Application, September 2019 Cohort
Thank you for your interest in joining the Buried in Treasures clutter skill-building and support group!

This group was developed to address moderate to severe cluttering behaviors. The questions on this application will help us to determine whether the group is likely to be a good match for your needs. Please answer honestly; this is not a test, there are no right or wrong answers, and no questions will automatically qualify or disqualify you from participation.

We may follow up with additional questions for you, so please make sure to provide up-to-date contact information. You are also welcome to contact us with additional questions at any time; you can reach Jules Plumadore, PEERS Senior Programs Manager, by email at jplumadore@peersnet.org , or by phone at 510-567-7612.

Our group begins on Wednesday, September 18, 2019. We will finalize our group participant list and contact everyone by 5pm on Friday, September 13, 2019.

Please tell us your name.
Your answer
Please give us the contact information you would like us to use for you (phone or email).
Your answer
Where did you hear about PEERS' BiT group?
On a scale of 1 - 10, how would you rate your current level of clutter? (1 is no clutter at all; 5 is enough clutter to make it difficult to use areas of your home for their intended purpose; 10 is enough clutter to put you at risk of eviction.)
Are any of the following true for you?
How do you feel about your clutter? (Please check all that apply.)
What is your motivation for seeking clutter support? (Please check all that apply.)
How motivated are you to change your cluttering behaviors?
How confident are you in your ability to learn new skills to manage your clutter?
How open are you to sharing your challenges with clutter to others in a group setting?
I have tried other clutter support options in the past.
I am willing to put in an average of 2 extra hours a week outside of group sessions to practice clutter management skills.
Is there anything else you'd like for us to know about you, your current situation, or your relationship to clutter?
Your answer
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