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Pre-Class Survey
"Men Who Been Victimized" - 4 Week Intensive
Contact Information
First Name
Last Name
Email Address
Phone Number
Class Preferences
Preferred Format
In-Person (Pittsburgh)
Virtual (Zoom)
Have you participated in a support group before?
Yes
No
Your Journey
What do you hope to gain from this 4-week class?
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Your information is kept strictly confidential.