Empowered and whole: finding balance in love and friendship Name * First Name Last Name Email * Phone * (###) ### #### Thursdays, 9:30 AM - 10:50 AM MST Choose your dates 11/07/24 - 02/13/25 (full) 02/20/25 - 05/08/25 05/15/25 - 07/31/25 08/07/25 - 10/23/25 10/30/25 - 02/05/26 Saturdays, 2:30 PM -3:50 PM MST Choose your dates 01/11/25 - 04/05/25 04/12/25 - 07/12/25 07/19/25 - 10/04/25 10/11/25 - 01/17/26 Questionnaire * These questions must be answered to be considered for one of the 12 available spots. How did you learn about this group? * What do you hope to gain by participating in this group? * The expectation is that group members will attend weekly, participate in group discussions, role-plays, and activities, and complete follow-up homework assignments. Do you believe that you can commit to this level of participation? * What concerns do you have about being a member of this group? Do you have any questions? Thank you!