Group Survey

1. Are you currently a patient at Insight Psychological Group? *

Yes
No

2. How did you first hear about IPG? *

Social Media (Facebook, Instagram, LinkedIn...)
Web search/Google
Recommendation of an outside provider
Recommendation from a current/former patient of IPG

3. We are currently enrolling clients in the following groups. Please click on any that you're interested in joining or hearing more about: *

Teen Anxiety Group (including self confidence, social media/phone addiction, improving communication...) (Ages 13-17)
DBT Group (Dialectical Behavioral Therapy)(for those having trouble with mood regulation and relationships)
Adult Anxiety Group (both virtual and in-person)
Virtual Mother's Group (for mothers of infants)
Parenting Group (in-person, for parents of Teens)
Men's Stress Group
None of these (see next question)

4. Is there another topic that you are interested in discussing in a group that is not currently offered? If so, what?

5. What specific issue(s) have you been struggling with? Please select all that apply

Tell us a little bit about yourself

6. What's your age and gender? *

If you are filling this form out for someone else, please provide their relationship to you, their gender and their age.

7. What office are you closest to (for in-person services)?

Westfield
Maywood
Little Falls

8. When is the best time for you or the individual above to have group sessions? Check all that apply

Since you expressed interest in one of the groups we are launching, please add your name and email address so we can keep you updated with more details. *

First

Last

Email address

Since you indicated interest in a topic area we have not yet created a group for, feel free to enter your name and best email so we can inform you when we do begin to develop a group for that subject matter.

Name

Email address

Group Therapy Interest Survey

Tell us a little bit about yourself

From our Facebook Page