1.Are you interested in beginning small group therapy sessions for those experiencing chronic pain/illness? More info here: https://ichoosegrit.com/group-therapy/

Yes

No

Would need to be less than 90min (how long?)

2.How often could you attend in person? (11124 N Cedarburg Rd, Mequon)

Weekly 

Biweekly

Monthly

3.How often could you attend, if done virtually? 

Weekly

Biweekly 

Monthly

4.What timing/day is best for you?

Monday nights in person (between 5:30-8pm)

Wednesday nights in person (between 5-7:30pm)

Monday nights virtually (between 5:30-8pm)

Wednesday nights in person (between 5-7:30pm)

Other (please specify)

5.What are you willing to pay? (I am a private pay clinic to allow for more freedom--with flexible pricing while beginning my practice)

$30/session

$20/session

$10/session

I can't afford a group with a fee right now 

Other (please specify)

6.Age:

7.What type of health issue (s) are you dealing with? (location of pain, diagnoses, etc.)

8.Email address for future communication: