Parent/Child Relationship Group Interest Form
This form serves to register interest in the coaching/support group focused on the following topic: "How to Develop a More Meaningful Relationship With Your Parents (As an Adult)".
Email address *
Name
Your answer
Which BEST describes your relationship with your parent(s)?
Why do you want to participate in this group? What interests you? What do you hope to gain?
Your answer
What concerns do you have about participating in a group like this?
Your answer
On a scale of 1 to 10, how motivated are you to see a change in this area of your life?
indifferent, ambivalent, resistant
extremely motivated!
Are you available Wednesdays @ 7pm from 10/2 to 11/20?
What's the best next step for you? (Check all that apply.)
Submit
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