Interest for Therapy Group 
Thank you for your interest in the new Therapy Group in The Hague! 
Taking care of our Mental Health is the best gift we can give to ourselves! 

-Meetings are held every week
-Group up to 8 people
-Cost: 50 euros per session 
-Location: The Hague 
-Two experienced facilitators - licenced psychologists 
-Systemic approach 

In order to inform you further about the start of the therapy group and to get in contact with you, we would like to ask you to fill in the information below. 

Thank you in advance for your time! 
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Full name  *
Email address  *
Phone number  *
Where did you learn about the Therapy Group?  *
If there is a family member or friend who attends therapy sessions with a psychologist of AntiLoneliness, please let us know here, as we want to rule out any case of conflict of interest.  *
Thank you! The facilitator and psychologist of the group will contact you soon for further details. 
In case there is a large amount of applications, it will take us some more time to get back to you, but you will hear from us for sure. 
Thank you for your patience! 

Support is on the way! 
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