BARS Group Sign Up

Completion of the Mach form is required prior to participation in the BARS group

Name Name * First Last
800#
Why are you looking to attend the BARS group? *

Why are you looking to attend the BARS group? I have thought I might have an issue with alcohol or substance use but not sure what I want to do about it I am currently in recovery I am hoping to stop my use completely I am looking to decrease my use of substances Other Other
Have you accessed counseling services in the past? *

Have you accessed counseling services in the past? I am a current client at the counseling center I have been to the counseling center in the past I have a current therapist in the community I have seen a therapist in the past but am not currently connected
Please provide any additional information about yourself related to your reasons for attending group *
If virtual zoom meetings were needed in the future due to Covid, would you still be interested in attending?

If virtual zoom meetings were needed in the future due to Covid, would you still be interested in attending? Yes No
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