CBT Peer Support Study Group
Share your contact details, availability, and comfort with Zoom and group participation.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Time Zone
*
Please Select
Eastern Time (US & Canada)
Central Time (US & Canada)
Mountain Time (US & Canada)
Pacific Time (US & Canada)
Other (please specify)
What day(s) of the week are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Do you have a printer?
*
Yes
No
Are you able to use Zoom?
*
Yes
No
Not sure
What made you decide to join us?
Do you understand that this is a peer study group and not therapy?
*
Yes, I understand
No, please explain
Have you ever learned any CBT skills before?
Yes
No
Not sure
Do you have any difficulty being on camera or speaking to other group members?
No, I am comfortable
Yes, on camera
Yes, speaking to others
Yes, both
Other (please explain)
Can you devote an hour to a session?
*
Yes
No
Maybe
Submit
Should be Empty: