Please fill out this brief assessment so we can assess the effectiveness of our work together. Thank you! Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date / TimeYour Age *Your Genderwhat gender do you identify with? if you would prefer not to say or do not identify with any gender, feel free to leave this blankDo you take antidepressants? If so, how long have you been taking them?Please rate your current sense of your individual well-being Selected Value: 0 on a scale from 0 to 10 with 0 being low and 10 being highPlease rate your current sense of your interpersonal well-being Selected Value: 0 interpersonal means your relationships with family and close relationshipsPlease rate your current sense of your social well-being Selected Value: 0 social refers to work, school, friendshipsPlease rate your current sense of your overall well-being Selected Value: 0 your general sense of well-beingHow are you feeling about being in this group?is there anything else you would like to share?Submit