Name *

First Name

Last Name

What are you looking for from the group? *

To hear and share stories

To learn recovery insights

A recovery mindset community

Emotional support

Processing trauma and grief

Find resources

Gain hope

Motivation and encouragement

Support in overcoming setbacks

Guidance on specific recovery challenges

To help others in their recovery

Other

What would make a virtual support group most helpful for you? *

Structured discussions with specific topics

Casual conversation

Specific topics of focus

Space to share resources and tools

A safe space to express myself freely

Group-led activities or exercises

Regular guest speakers or experts

Other

What time zones would you like to see accommodated for these groups?

GMT (Greenwich Mean Time)

EST (Eastern Standard Time)

PST (Pacific Standard Time)

CET (Central European Time)

AEST (Australian Eastern Standard Time)

IST (Indian Standard Time)

Other

How would you describe your current stage of recovery? *

Early recovery

In progress

Not yet started

Still experiencing setbacks

Fully recovered

Long-term recovery

New to the idea of recovery

Other

Which long term illnesses / conditions are you interested in focusing on?

ME/CFS

Fibromyalgia

POTs

Lyme Disease

MS

Pain

Autoimmune conditions

Crohn's disease

Ulcerative colitis

Other