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* 1. What behavioral health groups would you like to see in our community? (Select all that apply)

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* 2. What topics would you like to cover? (Select all that apply)

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* 3. What time of day would be best to hold a support group? (Select all that apply)

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* 4. What days of the week would work best for you? (Select all that apply)

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* 5. Some classes or groups may require a small fee; would that be a barrier for you to attend?

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* 6. Additional comments

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