PEERS® SOCIAL SKILLS GROUP

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PEERS® SOCIAL SKILLS GROUP

We have groups for teens and young adults with Autism, social anxiety, ADHD, or other social difficulties.

If you are interested in enrolling in this program, please complete the short questionnaire below to help us determine if PEERS® may be a good fit for you and your social coach. You may also contact us anytime with questions at (860) 270-0600.

Email *

First and Last Name of Applicant
*

Age *

Diagnoses (if applicable)

First and Last Name of Parent/Caregiver (if applicable - note: social coach is required) *

Phone number *

What difficulties does the applicant have with making and keeping friends? Check all that apply. *

Trouble making/keeping friends

Social anxiety

Aggressive with friends

Lack of friends at school/in community

Socially isolated/withdrawn

Socially awkward

Teased or bullied

Does not get invites to others' houses/activities

Difficulty developing romantic and/or close relationships

Required

How did you hear about us?

Any questions or comments?

Submit

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