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The 2nd Wind Survivor Support Group is open to human trafficking survivors who are interested in receiving an extra layer of "sister survivor" and professional trauma informed support as they continue to work on life recovery. Second Wind members, specialized selected volunteers and a Nationally Certified Human Trafficking Licensed Therapist expert meet once per month virtually and in-person around various areas of southeast/ west Michigan and northeastern Ohio areas. Following receipt and review of your application, you will be contacted by the counselor via phone and discuss a 'meet and greet' comfortable for you prior to walking into your first 2nd Wind gathering.

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* 1. Name and contact info

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* 2. Date of Birth

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* 3. What is the best time to reach you?

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* 4. Emergency Contact

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* 5. What is the relationship of your emergency contact

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* 6. Current Relationship Status: 

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* 7. Do you have any children?

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* 8. If yes, what are you comfortable sharing about them?

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* 9. Do you feel safe in your current relationship?

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* 10. What is your completed level of education?

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* 11. Which of the following categories best describes your emplolyement status? 

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* 12. Do you identify with an organized religion or faith based system?

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* 13. If so, are you comfortable sharing what it is?

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* 14. Do you have spiritual supports through your faith community?

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* 15. Do you have any physical health concerns that may prohibit you from participating in group acivities that we should be aware of?

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* 16. If yes, are you comfortable sharing what they are and if special assistance is needed?

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* 17. Are you currently in active recovery for substance abuse?

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* 18. If yes, Congratulations! What is your active recovery date (how long have you been in active recovery?)

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* 19. Are you currently receiving professional mental health treatment ? 

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* 20. If yes and comfortable, please share about your treatment: 

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* 21. How often do you attend? 

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* 22. Do you have healthcare insurance? If so, what is the name of the provider? 

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* 23. Are there medications that cause you an allergic reaction? If so what are they? 

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* 24. What medications are you currently taking?

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* 25. Do you have any dietary restrictions or food allergies?

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* 26. How did you hear about 2nd Wind? 

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* 27. Have you attended a SOAP Survivor Retreat? If so, how many?

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* 28. Are you willing to confidently share your story with the SOAP counselor? 

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* 29. Following receipt of your application, the SOAP counselor will contact you by phone. Thank you for trusting us with your information. We look forward to connecting with you.

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