Recovery Ministry Interest Survey
Your Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
I would be interested in participating in this/these Recovery | Process Group(s) currently being offered. Pease select all that apply.
Anger Management
Anxiety - Depression
Codependency
Disordered Eating
Marriage Betrayal (Women Only)
Men's Purity
Men's Substance Abuse
PTSD
Women's Purity
Women's Substance Abuse
Other
I would like more information about serving with this/these groups. Please select all that apply.
Anger Management
Anxiety - Depression
Codependency
Disordered Eating
Greeting and Check In
Marriage Betrayal-Women Only
Men's Purity
Men's Substance Abuse
PTSD
Women's Purity
Women's Substance Abuse
Other
I would need childcare or activities provided for this/these age groups. Please select all that apply.
Infant-4K
Kindergarten-Grade 5
Middle Schooler (Grade 6-8)
High Schooler (Grade 9-12)
None
Additional Comments
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