Post-Release Support Group Survey
We're collecting information on possible participants' preferences to see what will work best for everyone.
Sign in to Google to save your progress. Learn more
Email *
Name *
City where you live  *
Are you interested in attending a post-release peer to peer support group? *
Would you be able to attend a group being held on Sunday afternoons at 4D Recovery (near Clackamas Town Center)? *
What is/was your release date? *
If you would not be able to attend the group on Sunday afternoons at 4D Recovery, what other locations and times would work for you? *
If there are not locations and times that work well, would you be interested in attending a virtual group sometime in the future? *
Are you currently housed or unhoused? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Alliance on Mental Illness of Clackamas County.

Does this form look suspicious? Report

Google Forms