Divorce Support Group Survey
We will be starting a new support group in April. We would love for you to join us. Please fill out this brief questionnaire. You will receive information about dates and time of our next group soon!! Thanks for your interest! This is a closed group. Once we start our first session, you will not be able to join until the next session begins. Each group lasts 6-8 weeks.
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Last Name *
First Name *
Email Address *
Phone number *
For contacting purposes would your rather receive a *
Which day of the week works best for you to attend a support group? *
Required
What time of the day works best for you to attend our support group? *
Required
Do you have health insurance? *
If yes, what type?
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How long have you been divorced? *
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