Please fill out this form to get in touch with me if you are interested in Support Groups 1. Your name * First Name Last Name 2. Email * 3. Who are you inquiring for? * Myself A group of people Other 4. What specific topic are you looking for support with? * 5. Where are you located (city, country)? * 6. Would this be on Zoom or in Person? * Zoom In person if possible Not sure 7. For how many people would this be (approx)? * 8. Please list 3 days and times when you are free to have a 15 minute zoom chat about this: * 9. How did you hear about me? * 10. Any other info I should know? Thank you! I will be in touch shortly !