Exit Counseling Clinic Group Interest Survey Question Title * 1. Are you interested in participating in any groups or classes offered by the Counseling Clinic, LLC (select all that apply) 18 - 23 Year Old Co-ed Process Group 23 - 29 Year Old Co-ed Process Group Adult Women's Group Mature Adult's Group Trauma Recovery Anger Management Professionals' Process Group Couples' Group Therapy Premarital Classes Chronic Health Issue General Process Group (for Mood, Anxiety, Self-esteem and Coping) Sexual Health/Sexual Dysfunction Other (please specify) Question Title * 2. List Name and Preferred Method of Contact (Optional) Done