Support Group Survey
If you are interested in joining a group to support each other during these stressful times, please indicate your preferences for meeting.
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When are you generally available to meet? Check all that apply.
Mid-Late Morning
Early Afternoon
Late Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Would you prefer to meet in-person or online? *
What topics (personal, spiritual, or social) would you like to discuss?
Do you have other needs?
Any Other Comments?
Name
Mobile Phone (for calls or texts)
email
Submit
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