Support Group Data Submission
NAMI Pinellas Support Group Facilitator
There is strength in the support of a community.
To ensure continued funding for our groups, please submit the following support group data as requested by our funders:
1.
Name:
2.
Email:
3.
Date of Support Group:
4.
Total # of
Support Group Participants
5.
Total # of
NEW
Support Group Participants
6.
Total # of
Veteran
Support Group Participants
7.
Total # of
Senior
Support Group Participants (over 65)
- Please include their first name and first initial of their last name
8.
Please note any challenges encountered during the Support Group
9.
Please select the kind of Support Group you are submitted data for:
Adult Connection Support Group Facilitator
Family Support Group Facilitator
LGBTQIA+ Support Group Facilitator
Surviving Suicide Loss Support Group Facilitator
P.O.W.E.R. Support Group Facilitator
Real Talk Support Group Facilitator
10.
Questions?
Email, Destini Gill, Program Manager at
dgill@nami-pinellas
or Call us at
(727)-826-0807
Comments?
Please list below.
