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* 1. Your full name.

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* 2. Your email address.

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* 3. Your telephone number.

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* 4. If you have any please enter a weblink(s) for a link to further information.

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* 5. What type(s) of group support are you offering?

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* 6. Who is the group targeted at e.g. is it for accredited counsellors, psychodynamic therapists? BAME therapists? All talking therapists?

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* 7. If not available at your web link please list any relevant qualifications, professional bodies and insurance cover you have.

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* 8. Again if not available on your web link please say a bit about your experience in this field.

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* 9. Would you be interested in accessing group support in developing your project?

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* 10. If you have any questions or comments about GROUPVISION please let us know. 

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