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* 1. Contact Information

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* 2. Which healing program were you a part of?

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* 3. Before joining my AbAnon/SAVAnon/MiSAnon group, I was...

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* 4. After joining AbAnon/SAVAnon/MiSAnon, I feel...

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* 5. This group has helped me...

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* 6. The people in my life that I feel safe sharing my story with, are:

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* 7. I would like to join another small group session for continued healing:

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* 8. I would like to grow spiritually:

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* 9. I would like to help others by:

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