Breaking The Silence: Defining Masculinity In The 21st Century.
Breaking The Silence is a powerful experience created to give men a safe space to have real, unfiltered conversations about life, identity, and mental health. This event will focus on redefining what it means to be a man in today’s world, beyond outdated expectations, silence, and pressure. Contact hope4humanityinc@gmail.com for more information.
Participant information
First Name
*
Last Name
*
Email
*
example@example.com
Zip Code
*
Phone Number
*
Format: (000) 000-0000.
Who invited you?
*
What are you wanting to get out of this event?
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What Men's Group and or Church are you a part of?
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What should we know about you?
Rate your mental health
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Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Rate your support group
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Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Have you ever attended a Breaking The Silence event before?
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YES
NO
Photo/Video Release: I understand this event may be recorded or photographed…” (Yes/No)Agreement Statement:“I agree to respect others and help maintain a safe environment.
*
YES
NO
What made you decide to attend this event?
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