top of page

Skills 4 Life Group Inquiry Form

Thank you for your interest in our Skills 4 Life groups!
Please fill out this form, and someone will contact you shortly to discuss group options and next steps.

Your Relationship to the Participant:
Self
Parent/Gaurdian
Other
Group Interested In:
Elementary Social Skills Group
Middle School Girls Group
Middle School Boys Group
Upper High School & College-Aged Group (Ages 17–20)
Young Adults Level 2 ASD Group
Is the participant currently a client of Chris Webb Counseling Group?
Yes
No
Previous client, but not currently active
Has the participant attended individual therapy before or currently?
Yes, currently
Yes, in the past
I have never attended therapy
Is the participant available to commit to a 6-week group series lasting 1 hour and 15 minutes per week?
Yes
No
How did you hear about our groups?

Consent

By submitting this form, you agree to be contacted by Chris Webb Counseling Group for scheduling and intake purposes related to group therapy.

bottom of page