Racial Wellness Workshop SignUp
This is the sign up form for the Racial Wellness Workshops beginning January 2nd 2021
Email address *
Name *
Age *
Gender *
Phone number
Emergency Contact Information *
Cultural Background *
Location/Borough *
What are you most looking forward to in the Racial Wellness Workshops *
Have you been offered or considered therapy in the past and if so what was your experience? *
What are your current views on group therapy and it's effectiveness? *
Are you currently suffering from any mental health issues e.g anxiety or depression? *
How did you find out about the workshops? *
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