The Therapy Group | Boundaries Workshop Interest Form

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We're so glad you're here! Please answer the questions below if you are interested in joining the boundaries workshop, lead by Taylor Nance, LMFT.

This weekly, virtual, group workshop runs for 8 weeks on Wednesday evenings from 6-7:30p starting on April 24, 2024. The meetings are 75-90 minutes long, and the format includes interactive education sessions, engaging group discussions, skill building activities, and weekly reflection prompts.

Email *

Name *

Phone Number *

Preferred Method of Contact *

Phone Call

Text

No preference

Required

Date of Birth *

YYYY

I identify as female *

Yes

Required

I am currently in therapy *

Yes

No: I've never been in therapy before

No: I am not in therapy now, but I have been in the past

Other:

Are you experiencing any of the following *

Suicidal ideation

Abusive relationship

Substance use disorder

None of the above

Other:

Required

What are your top 2 goals that you hope to achieve during our time together?
*

Is there anything important to know about you?

I recognize that by signing up for this workshop, I am committing to attending all 8, weekly, sessions. *

Yes I understand

Required

Do you have any questions that you'd like to have answered before you move forward?
*

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