Body Image Group: Improve not Prove Application
Thank you for your interest in this group! This brief survey helps us understand your goals and make sure the group is a good fit. Your responses are confidential and will only be reviewed by the group facilitator.
Name *
Email *
Phone number
What drew you to this group?
(e.g., What are you hoping to learn or explore?)
 *
How would you describe your current relationship with your body?
(There's no right or wrong answer—just your honest experience.)
 *
Have you participated in therapy before? If so, individual or group?
(Not required—just helpful to know!)
 *
Do you have any specific hopes, goals, or concerns about being part of a group setting?
 *
Is there anything you'd like the facilitator to know about you in advance?
(Optional, but can help us support you better.)
Submit
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