#blackmomscan Group Session Form

#Blackmomscan Group Session Form

In the fast-paced world of motherhood, managing stress, staying organized, and making sound decisions can feel overwhelming. Our group sessions are designed to equip today’s moms with the essential skills needed to navigate daily challenges with confidence and grace. Fill out the form carefully for registration
Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Preferred E-mail
example@example.com
Mobile Number
Preferred Mode of Communication?
What is your primary reason for joining this group session?
Do you have any previous experience with group counseling or coaching?
if yes, explain briefly in the additional comments section
What are your main goals or concerns you hope to address in this group session?
Are there specific topics or areas you would like to focus on?
Do you have any specific challenges or obstacles you are facing that you want to discuss?
Do you have any current mental health concerns or conditions that we should be aware of?
if yes, please describe briefly in the additional comments section.
Are you currently receiving any form of mental health treatment or therapy?
if yes, please explain briefly in the additional comments section
Do you have any preferences or concerns regarding group interaction and participation?
How do you feel about participating in group discussions and activities?
Do you have any questions or concerns about confidentiality and safety in the group setting?
Do you have any accessibility needs or special accommodations required for participation?
Please use this space to provide any additional comments or questions. If you answered yes to questions that request a brief description please do so in the space below.
This is a virtual format via Zoom. Link will be provided after registration. All sessions are formatted in Eastern Standard Time (EST).

Acknowledgment of Virtual Format: By registering for the group sessions, you acknowledge that you understand the sessions will be conducted online via Zoom and agree to participate in this format.
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Choose your session below. Please note that sessions are held for one hour weekly. *

Focused and Fearless: ADHD Management for Moms Product Image

Focused and Fearless: ADHD Management for Moms Managing ADHD as a mom can be challenging, but it doesn’t have to be overwhelming. Our "Focused and Fearless" group sessions are designed to empower moms with ADHD by providing practical strategies and a supportive community.

$55.00

PARENTAL WELLBEING: supporting moms with neurodivergent children Product Image

PARENTAL WELLBEING: supporting moms with neurodivergent children Navigating the world of special education and neurodivergence can be challenging, especially when you're unsure where to turn. Our "Parental Wellbeing" group sessions are designed to provide unique support and guidance specifically for moms with neurodivergence and children receiving special education services.

$55.00 Quantity

Navigating New Chapters: Moms in Transition Product Image

Navigating New Chapters: Moms in Transition Life is full of changes, and as a mom, navigating new chapters can feel overwhelming. Whether you're adjusting to a new career, managing a recent separation, or simply finding your way through life’s unexpected twists, our "Navigating New Chapters" group sessions are here to support you.

$55.00

Thrive and Shine: Mental Skills for Today’s Moms Product Image

Thrive and Shine: Mental Skills for Today’s Moms In the fast-paced world of motherhood, managing stress, staying organized, and making sound decisions can feel overwhelming. Our "Thrive and Shine" group sessions are uniquely designed to equip today’s moms with the essential mental skills needed to navigate their wellbeing and daily challenges with confidence and grace.

$55.00

BUNDLE Package As a bonus, you’ll also receive 10% off an individual session package, perfect for diving deeper into your personal goals at your own pace.

$99.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

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#Blackmomscan Group Session Form

This is a virtual format via Zoom. Link will be provided after registration. All sessions are formatted in Eastern Standard Time (EST).

Payment Methods