Men’s Wellness Group – Sign-Up

Thank you for your interest in the Men’s Wellness Group. This group is designed to provide a supportive, structured space for men to build emotional strength, develop clarity, and connect with others in meaningful ways.

We focus on practical strategies to help you manage stress, improve relationships, and develop a healthier relationship with your thoughts and emotions—without judgment or pressure.

Group Details:

  • When: Saturdays at 10:00 AM
  • Cost: $60 per session (out of pocket, not covered by insurance)
  • Format: (Virtual)
  • Age: Only 18 years and above may join

Please complete the form below to reserve your spot. Once submitted, you will receive follow-up information regarding scheduling, payment, and next steps.

Spots may be limited to maintain a high-quality group experience.

Sign in to Google to save your progress. Learn more
Please provide basic information about yourself: Full name, email address, phone number, age, preferred contact method. 
What led you to consider joining a men’s group at this time?  
What are you hoping to get out of this group?  
What would make this group feel like a success for you?  
Have you participated in therapy or a group before?  
Clear selection
Are you currently working with a therapist?
Clear selection
Are you currently having thoughts of harming yourself or others?
Clear selection
Are you able to attend Saturdays at 10:00 AM consistently?
Clear selection
Are you comfortable participating in group discussions?
Clear selection
This group works best when members are engaged and respectful of confidentiality. Are you willing to commit to this?
Clear selection
I understand this group is not a substitute for individual therapy or crisis services
Clear selection
I understand confidentiality is expected, but cannot be absolutely guaranteed in a group setting  
Clear selection
I agree to be contacted with next steps regarding the group
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report