Political Stress Support Group Contact Page

Political Stress Support Group
CONTACT FORM
Please complete this form and one of the group facilitators will be in touch shortly!

Your Name (and pronouns if you would like to include)

Your Email

Your Phone Number (Optional)

How did you hear about this group?

What is your racial/ ethnic identity? (Optional)

We ask about racial and ethnic identity to help us create diverse, inclusive group environments where all members feel supported and represented. Some potential group members have expressed interest in knowing the demographic composition of their group before joining, and we honor these preferences as part of our commitment to culturally responsive care.

What day and time options would work best for your schedule (Select all options that would be possible) Required

What would you be most hoping to gain from this group?

Is there anything else you would like us to know about you?

May we add you to our email list? (We send very few and will never share your information with others) Required

Yes, sure

No, thanks

Thank you for your interest! We will respond to you within 1 - 3 business days.

Political Stress Support Group CONTACT FORM Please complete this form and one of the group facilitators will be in touch shortly!

Political Stress Support Group
CONTACT FORM
Please complete this form and one of the group facilitators will be in touch shortly!