JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Adult Trans Support Group
Support Group meets:
May 27, 2023 (Saturdays)
- 4th Saturday of the month* (may change)
Time: 4:00pm
Address: 260 South Acadian Thruway
Contact us at Timeless.Tate@youthoasis.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Pronouns
He/ Him/ His
She/ Her/ Hers
They/ Them/ Theirs
Xe/ Xir/Xirs
Pronouns not listed
Clear selection
How do you identify?
*
Non-binary
Gender Non-conforming
Genderqueer
Two-spirit
Trans Women
Trans Feminine
Trans Man
Trans Masculine
Identity not listed
Required
Are you 18 yrs or older?
*
Yes'
No
Are you out, stealth, discreet, or closeted? How can we help with non-disclosure and privacy? (Ex: Don't tell my parents, don't tell my job, I can't take group photos etc.)
Your answer
What are you interested in gaining from the support group?
Your answer
What are some topics or activities you suggest we discuss or do? (Any movies, topics, events)
Your answer
What's something you suggest should be a rule or guidelines that people follow in a support groups? (privacy, bring food, fun games etc.)
Your answer
Are you able to attend in-person or virtually?
In-Person
Virtually/ Online Only
Both
Clear selection
Are there any resources you may need?
Housing
Food
Clothing
Financial Assistance
Clear selection
We have a certified counselor that specializes in transgender counseling. Would you like to schedule an appointment in the future?
Yes
No
Maybe/ Unsure
Clear selection
Dietary restrictions?
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Youth Oasis.
Report Abuse
Forms