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Home
About Louise
Group Therapy
Menopause Groups
About Group Therapy
What to expect
Stages of menopause
Book Group Therapy
Resources
Contact
To be considered for a group please fill out the application below.
Name
Email
Date of Birth
Phone Number
Full address
Any physical or mental health diagnoses?
Yes
No
Have you ever received counselling or therapy before?
Yes – individual
Yes – Group
No
Did you find it helpful/not helpful? Why?
Which group(s) would you like to be considered for?
Wednesday 7pm - Starting January 8th
Friday 10am - Starting January 10th
How did you hear about the groups?
Instagram
YouTube
Google search
Word of mouth Sarah's book
Podcast
Other
What do you hope to gain from coming to the group?
How comfortable are you in groups generally? What role do you usually play?
Have you ever attempted to take your own life?
Yes
No
Decline to answer
Are you currently experiencing any suicidal ideation or suicidal thoughts?
Yes
No
Decline to answer
Send