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Parent to Parent Interest Form: August 2025
Thank you for your interest in our 6-week bereaved parents support group. Please fill out this form to help us better understand your needs. This is for our upcoming support group beginning August 26th, 2025.
We will meet on Tuesday evenings (6-8pm) at our space in Elk Grove, California.
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Email
*
Your email
Name:
*
Your answer
Phone #:
*
Your answer
How did you hear about Together We Heal Community
*
referral from therapist
referral from friend or family
internet search
social media
other
Please share the type of loss you have experienced
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Your answer
What are you looking to get out of this group?
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Your answer
Have you ever attended a support group before?
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Yes
No
If yes, what did you like or dislike about it?
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Your answer
How comfortable are you sharing personal experiences with others in a
group?
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I don't feel comfortable at all.
1
2
3
4
5
I'm an open book.
Can you commit to attending all 6 sessions? (excluding illness)
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Yes
No
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