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0800 63 62 63

Email Men and Trauma

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Trauma Recovery Aotearoa
Difficulties?
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Home
Trauma Recovery Aotearoa
Difficulties?
Services
People
Contact Us
Resources

Support Group Bookings

I am interested in joining a support group

* Indicates required field

Name *

First

Last

You can use a nickname or whcihever name you can prefer. For last name you can just put - or . if you like

Date of Birth *

Email *

You don't have to leave your phone number but if you don't leave either email or phone number we won't be able to get back to you.

Phone Number *

You don't have to leave your phone number but if you don't leave either email or phone number we won't be able to get back to you.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Location? *

How would you like to be contacted for your assessment? *

Text Call back to your number Email Face to Face Video

What support method would you prefer for your group? *

Face to face Video; Zoom or WhatsApp etc.

My preferred time to attend a group is *

During the day In the evening On the Weekend Any is fine

This is not a booking for that time, just an indication

Do you have any preferences for the person you see at your assessment?? *

Any is fine really Male Female Rainbow sensitive Disabled aware Ethnic preference Diverse gender

If so, which ethnicity are you hoping to see? *

What support group are you interested in joining *

Male Trauma Chat group Men and Relationships Males affected by Suicide Covid Burnout Women's support group Male Survivor of sexual abuse Narcissistic abuse survivors Not sure yet

What difficulties would you like support with? *

I just need someone to talk to Child Abuse Relationships Covid Burnout Suicidal thoughts and behaviours Out of control feelings and behaviour Survivors of Trauma My life is chaos and I can't get a grip on it Racism Homophobia Anxiety, Depression, Shame and Rage Sexual Abuse Not sure yet

How did you learn about us? *

Word of Mouth Internet search Social Media Poster or Brochure Professional Referral

Are there any team members in particular on our Staff page you would like to see? *

Is there anything else you would like to mention at this stage? *

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