Healing Group Registration Form
Thank you for your interest in Narika's Healing Groups for survivors of domestic violence. The goal of these support groups is to provide healthy coping tools. We hope you will find the groups to be a confidential and comfortable space to share and learn. The support groups will be primarily facilitated in English, although facilitators are fluent in Hindi and Punjabi.  Please fill out this form and we'll follow up with the zoom link soon! Please email narika@narika.org with  questions.

Session schedule for 2022 is as follows:

September 7, Wednesday, 12-1:15PM-Addressing Anxiety - Part A (Facilitator Rachna Garg, LMFT)
September 14, Wednesday, 12-1:15PM- Addressing Anxiety - Part B (Facilitator Rachna Garg, LMFT)

Sep 28, Wednesday, 12-1:15 PM: Mind Body Connection - Part A (Facilitator Dr. Kapoor)

Oct 5 BREAK

Oct 12, Wednesday, 12-1:15 PM: Mind Body Connection - Part B (Facilitator Dr. Kapoor)

Oct 19 BREAK

Oct 26 Wednesday, 12-1:15 PM :Impact of DV - Part A (Facilitator Dr. Kapoor)

Nov 2 BREAK

Nov 9, Wednesday, 12-1:15PM:  Impact of DV - Part B (Facilitator Dr. Kapoor)

Nov 16, Nov 23, Nov 23 BREAK

Dec 7, Wednesday, 12-1:15PM: Taking Care of Self- Coping with the Holidays (Facilitator Dr. Kapoor)

Dec 14  BREAK

Dec 21, Wednesday, 12-1:15 PM:  Year End Self Affirmation (Facilitator Dr. Kapoor)


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Email *
Confirm Email: *
Your name *
Have you experienced or are you experiencing domestic violence? *
Are you able to safely and comfortably access zoom in a quiet place, to attend these virtual group sessions? *
Phone Number: *
How did you hear about Narika? *
Required
If you chose other, where did you hear about Narika?
City of Residence: *
Are you from Fremont CA? (This will not affect your placement in this program and is purely for data recording purposes) *
I am also interested in:
What is your primary language?
Anything else you'd like to share that you think we should know? (EG- your availability, accessibility, etc)
Are there any topics you would like us to cover that are not listed? (See top of the form)
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