A Place For Support The more we know, the better we can support you. Share as much or as little of your story as you feel comfortable. Name * First Name Last Name Email * Phone (###) ### #### Have you been add to the WhatsApp support group? Yes No I don't use WhatsApp Please send me the link Do you have children? If yes, please list names and ages: What is your ex’s name? What is the current custody arrangement? Are you working with an attorney or mediator? Attorney Mediator Neither Not sure yet If yes, please provide their name: What stage are you at in your separation or divorce process? (e.g. just starting, in court, finalizing, etc.) Do you have any upcoming court dates or important legal deadlines? Are there any names or topics that are triggering for you that you'd like us to avoid or be mindful of? Have there been any incidents of domestic violence or restraining orders? Yes No Prefer not to say If yes, please share any details you’re comfortable disclosing: Was infidelity a factor in your relationship? Yes No Prefer not to say Would you like to talk about this during support sessions? Is there anything else you'd like to share with us? Bravery Buddies Sign me up to be a buddy! Yes, I want someone to help me navigate this process. Not sure, please send me more info Not at this time Thank you!
