We are currently developing a Young Adult Bereavement Group for those aged 18-30 and are interested in hearing your input. This group will be a supportive space where participants have the opportunity to connect with others who are grieving the loss of a significant person in their lives. Group participants can expect to discuss and learn about the grieving process, develop and practice coping strategies, share experiences, and build resilience.

This survey will take less than 2 minutes to complete. Thank you for taking the time to share your thoughts with us!

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1. Would you consider attending this group?

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2. What time of day would be best to offer this Group? Check all that apply.

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3. Frequency of Group:

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4. Duration/Length of Group:

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5. Are there specific topics associated with grief that you are hoping this group will address?

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6. Other comments you wish to share with us:

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7. Would you like to be contacted to participate in the group?

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8. If selected Yes for Question 7, please provide your name and contact information:

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