Join the healing revolution

Fight Club is a holistic 14-week program for women who are survivors of trauma* to begin a journey of healing through boxing, yoga, group talk therapy and individual counseling. 
*Trauma related to human rights includes but is not limited to: War, persecution of religion, sexual orientation and freedom of speech, violence, domestic violence, human trafficking, sexual abuse, sexual assault, rape, poverty, incarceration, racism

Question Title

* 1. Contact Information

Question Title

* 2. Date of birth

Date

Question Title

* 3. Which of these best describes your current gender identity? (cisgender refers to identity and gender that corresponds with your birth sex)

Question Title

* 4. Please describe your race/ethnicity.

Question Title

* 5. Which of these best describes your sexual orientation?

Question Title

* 6. Income range

Question Title

* 7. What is the highest level of education you have completed?

Question Title

* 8. English reading/writing proficiency

Question Title

* 9. Languages spoken

Question Title

* 10. What is your experience with yoga?

Question Title

* 11. What is your experience with boxing?

Question Title

* 12. What is your experience with counseling?

Question Title

* 13. Have you ever had the following issues while seeking mental health care? Please check all that apply.

Question Title

* 14. Do you have a preference on the gender of your therapist?

Question Title

* 15. Do you have a preference on the ethnicity of your therapist?

Question Title

* 16. Will your schedule allow you to commit to Fight Club for an hour and a half twice a week?

Question Title

* 17. Will you commit to seeing a counselor for the 14 weeks of the program?

Question Title

* 18. Do you prefer morning, afternoon or evening classes? Check all that apply.

Question Title

* 19. Do you struggle with any of the following? Check all that apply.

Question Title

* 20. Do you have a history of suicide attempts and/or suicidal thoughts? Check all that apply.

Question Title

* 21. Are you currently in a physically or verbally abusive relationship or enduring emotional or psychological abuse?

Question Title

* 22. Do you feel safe (free of being harmed or abused) at home and at work? Check all that apply.

Question Title

* 23. Do you have any underlying health conditions?

Question Title

* 24. Are you a veteran or first responder?

Question Title

* 25. In a few paragraphs, please share with us how trauma has effected your life and what aspect(s) of your life you want to take ownership of. Why do you want to join Fight Club and how do you know you are ready for change? (1,000 words max)

T