Thank you for your interest in a Transformational Processes small group. I look forward to receiving your application and will get back to you soon. --Carolyn Yoder Confidential Small Group application/registration Which small group option are you applying/registering for? * Meaning, Purpose, and Courage in Extraordinary TimesPractices to Sustain and Center You through the Winter Darkness Your name * Date of birth * Phone * Email * May I text, e-mail or leave voice mail messages? * Text messages Email Voice mail messages Are you currently in any kind of counseling/therapy? If yes, briefly state reason. Include diagnosis and name of therapist/psychiatrist. Are you currently taking any medications for a mental health condition? How do you take care of yourself physically, emotionally, spiritually? Check all that apply. * Exercise regularly Eat a healthy diet Get adequate sleep Spend time in nature Get together with friends Have a supportive family Journal Dance Yoga Art: draw, paint, music, etc. Mindfulness Pray Meditate Sacred circles A member of a religious body Other Approximately how much time do you spend watching/reading the news in an average day? * Approximately how much time per day do you spend on social media during non-work hours? * Briefly tell me a bit about yourself and your interest in being part of this group. Thank you! * Submit