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PolyVagal Group Preference
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First and Last name:
*
Your answer
City and State
*
Your answer
What time of day would you prefer to attend an online psychoeducational group about PolyVagal Theory? The group will run 5-6 weeks and we will run multiple sessions.
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11-12am
1-2pm
6:30-7pm
Other:
Would you like the group to be offered in English or Spanish?
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English
Spanish
Do you give permission for Shift Counseling, PC to reach out to you by email when we are ready to start our groups?
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Yes
No
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