SIRA Screening Questions  
Please fill out the below form if you would like to attend SIRA's peer support meetings. You will receive a response within 3-7 business days. Thank you in advance for your patience. 

If you do not have lived experience but would like to attend, please fill out the below. If you are seeking to attend meetings to gain a better understanding or support a loved one with lived experience, please fill out the screening form in reference to yourself. Please note, only Saturday meetings are open to the public to observe. All other meetings are closed and only people with lived experience can attend. Shares and open discussion during all meetings are only for people with lived experience. We welcome caregivers, psychology students, loved ones to observe Saturday meetings to gain a better understanding of Non-Suicidal Self-Injury (NSSI) & support their loved ones. 

*SIRA has an age requirement of 16+ for our weekly meetings due to more mature topics that can be mentioned in meetings. However, we periodically host youth meetings for ages 12-19. Please subscribe to our newsletter here to stay up to date on youth meetings and SIRA news. 
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Email *
Name *
Do you have lived experience with self-injury? i.e. (cutting, burning, picking, biting, etc). 
*If you have a loved one who engages in self-injury you are welcome to attend our open meetings on Saturdays 4:30pm ET. 
 *
Please specify, without graphic context, the self-injury behaviors you engage in.
*We ask this question to ensure SIRA is the right fit for you. SIRA is only a peer support group for Non Suicidal Self-Injury (NSSI). Please type "N/A" if you do not have lived experience. 
 *
Do you want support to help you cope with self-injury & the struggles that come along with engaging in NSSI? *
Do you think you would benefit from a peer support group of others who have personal experience with NSSI? *
How old are you? *
Are you part of any other peer support groups?  *
What time zone do you live in? *
Would you like to be notified about SIRA news & updates? *
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