Expressive Arts Survey
Family Service will begin offering 2-hour Expressive Arts groups this fall to facilitate self-discovery, emotional release, and the exploration of specific topics in a safe space. The focus will be on the creative process rather than the end product, so no artistic ability is needed. We are interested in what interests you and will suit your needs. Please take a few minutes to complete this survey. Your responses will help us to plan for the Expressive Arts groups. This survey will be available until September 30.
I am interested in trying an expressive arts group.
Yes
No
Please share why you are or why you are not interested in an expressive arts group:
Some groups will focus on specific topics. I am interested in (please check all that apply):
Body Image
Care Giver
Chronic Disease
Grief or Bereavement
Life Review
PTSD
Self-discovery
Trauma
No topic
Other
If you checked other, please let us know in what topic(s) you are interested:
By being in an expressive arts group, I hope to:
I am interested in (please check all that apply):
One-time workshops
A topic series
A regular open group
I am available to meet (please check all that apply)
Mornings
Afternoons
Evenings
Back
Next
I would like to meet (please check all that apply)
Once a month
Every other week
Weekly
Once
Other
If you checked other, please let us know how often you prefer to meet:
These days are best for me to meet (please check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I am:
11 - 17
18 - 39
40 - 64
65 - 74
75 - 85
Over 85
My zip code is:
I have access to transportation:
Yes
No
A nominal payment would prevent me from attending a group:
Yes
No
Optional:
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Submit
Should be Empty: