Post Disclosure Support Group Participant Survey

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Support for Women
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- Stones of Hope
- Donate Now – Partner with Us
Contact Us
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Name(Required)

First Last

Email(Required)

Phone

What parts of the disclosure process will you have completed prior to the group's start? (Select all that apply.)(Required)

Right of Truth (Husband's Full Disclosure)

Clarification of Disclosure Elements

Impact Letter

Letter of Restitution

With whom did you complete your disclosure? (Please share first and last name as well as title - coach, therapist, counselor.)

With whom did your husband complete his disclosure process? (Please share first and last name as well as title - coach, therapist, counselor.)

Please rate your satisfaction with the disclosure process you experienced.

1 (Very Unsatisfied)

5 (Very Satisfied)

Is your husband in active recovery?

Yes

Have you participated in a support group before?(Required)

Yes

If yes, what was the most helpful to you as a group participant?

What self-care do you have in place currently to help you during your time in the post disclosure support group?

What do you hope to gain from this group?

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