Please fill in the form below 

In order for us to best understand how to support you in our groups and workshops, it’s important that we gather some information about you, your estrangement and your wellbeing. This should take no more than 5-10 minutes to fill in. Please be aware we won’t be able to respond to your personal circumstances at this stage, but this form will allow you to access our groups and workshops, where you can find support with your situation. 


Please set up three goals you would like to achieve by attending our support group or workshop