Brief intake form for OCD group

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Brief Intake Form

OCD Insights Virtual Community and Group Strategy Sessions

Please fill out this form to apply to enroll in our group.

We will be in touch soon!

First Name

Phone Number

If you are interested, but have a clarifying question..please ask here:

Please briefly describe your prior or current engagement in OCD skills groups, courses, or individual work:

How did you find me?

If you were referred, whom may I thank for the referral?

What topics or themes of OCD would you like to see highlighted in group?

On a scale from 0 (no symptoms right now) to 10 (severe and debilitating), how would you rate your symptoms at this time?

Is there anything you would like us to know?

Each session will be recorded and posted in our PRIVATE group platform. This will allow you to be able to replay valuable content and allow participants to catch up if they miss a session.

I understand and agree

Note: By submitting, you agree to be added to the OCD Insights newsletter.

Form submission[]

Submission of this form does not guarantee admittance into the group. A member of our team will reach review this form and reach out soon.

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Apply To Work With Sam

Interested in working with Sam at OCD Insights? Your next step is to apply to book a complimentary Discovery Call so you can determine the solution that's right for you:

Note: By submitting, you agree to be added to the OCD Insights newsletter.