Finding Ground · Women's Resource Center

Group interest form

Let's find some ground together.

Thank you for considering Finding Ground, our support series for parents navigating estrangement from an adult child. Take a few minutes to tell us a little about your situation, so we can make sure the group is a good fit for where you are right now.

Kai Qualls, LPC, CCATP
Operations and Clinical Director, Women's Resource Center

About you

First name*

Last name*

Email address*

Phone number Optional

City / town*

How did you hear about this group?*

Your situation

Which child (or children) are you currently estranged from?* Relationship only, e.g. "adult son," "two adult daughters." No names needed.

How long has the estrangement lasted?*

How would you describe the current contact status?*

Which of these feels closest to what led to or surrounds the estrangement? Select all that apply, optional

On a typical week, how much mental or emotional energy does this situation take up?*

Group fit and readiness

These questions help us understand what you're looking for and make sure the group format is a good match for you right now.

In your own words, what is bringing you to this group right now?*

Have you participated in a support group or counseling before?*

Are you currently working with a therapist, counselor, or mental health provider?*

In the past 3 months, have you experienced any of the following? Select all that apply

Is there anything else that would help us understand your interest form? Optional

This group meets weekly for 10 weeks via Zoom. How confident are you that you can attend most sessions?*

Your information is confidential and reviewed only by WRC clinical staff.