Women’s Growth and Capacity Development Group Questionnaire

Please complete this questionnaire if you are interested in participating in this group. A member of Bonnie's team will be in touch when a spot opens up.

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Question 1 of 8

Name:

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Question 2 of 8

Email Address:

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Question 3 of 8

Location:

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Question 4 of 8

Phone Number:

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Question 5 of 8

IFS Experience:

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Question 6 of 8

What psychological issues are you facing now?

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Question 7 of 8

What capacity development area calls you?

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Question 8 of 8

How much and how frequently do you currently use drugs and alcohol?

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