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"Although the world
is full of suffering...
it is also full of
overcoming it."
-- Helen Keller

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Self-Help Group Sourcebook OnLine
Sponsored By CenterSite, LLC

We appreciate your taking a few minutes to send us comments or any questions you may have about the Self-Help Sourcebook OnLine. This is a multi-use form used for all communication between our readers and us. You may use this form to:

     * Describe your interest in starting a needed new group or support network if one doesn't yet exist in the world
     * Tell us about a resource, organization or support group not currently in our database
     * Register your interest in starting a new group or support network that doesn't yet exist anywhere
     * Share your favorite quote about groups, or a story that shows their special value
     * Provide us with your suggestions or comments

If there is any data field below which you do not wish to enter, please skip it and keep going. Fill in only those fields you want! However, we do need at least an email address in which to contact you.

Name:
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Is this a day and/or evening number?

What general age group do you fall into?

    01-17, 18-30, 31-40, 41-50, 51-60, 61-70, 71-80, 81+

How would you primarily describe yourself?

    Health or mental health professional
    Self-help group member
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    Other:


What is the general purpose of this email?
(Although you can only choose one of the below, you may certainly make any additional requests you'd like in the comments section below!)

    Provide us with your suggestions or comments
    Tell us about a new resource not in our database
    Provide your favorite quote about groups, or a story that shows their special value
    Register your interest in starting a needed new group or support network that doesn't yet exist anywhere.


Please enter any additional comments or questions you may have: (Please use the Enter key at the end of each line.)

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