DBT Skills Group - Wait list/Interest Form
Thank you for your interest in our DBT Skills Group at Radical Healing. To help us maintain a list of interested folx, please complete the following form. Our skills group is on hold during the COVID-19 pandemic and plan to begin groups again in person when it's safe to do so.
PLEASE NOTE: Since this form is transmitted electronically, confidentiality cannot be guaranteed, If there is any question you prefer not to answer electronically, please let us know by completing the last form response and we can schedule a time to meet with you over the phone or in person or leave a voicemail at 919-960-1396.
Date of Form Completion
Do we have your consent to...
Call you and leave a voicemail?
Send you a text message?
How did you hear about us?
Do you have preference for meeting times?
Daytime (before 5PM)
Evenings (After 5PM)
In what meeting format are you interested in participating?
In person only (post-pandemic)
Either online or in person (post-pandemic)
Are you currently working with a DBT therapist or any therapist?
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