I am happily living in recovery from severe bipolar I disorder with psychosis, including major depression, after first being diagnosed over 20 years ago. I provide one-on-one coaching to caregivers and their loved ones with bipolar disorder as well as caregiver support groups based on my lived experience and training (detailed here: https://adobe.ly/3dwSFrm). The fee for one-on-one sessions is $150 for 45 minutes, and for support groups, it is $50 for a 45-minute session with 5 bipolar caregivers. If you are interested, please complete this brief survey. Thank you!

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* 1. First name

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* 2. Email

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* 3. I am interested in participating in caregiver support groups.

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* 4. If Yes to 3, what time are you available for Weekday 45-minute coaching sessions? Please pick all that apply.

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* 5. I am interested in one-on-one coaching.

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* 6. If Yes to 5, what time are you available for Weekday 45-minute coaching sessions? Please pick all that apply.

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* 7. If yes to 5, who for?

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* 8. I am interested in bipolar education sessions led by a Psychiatric Nurse Practitioner?

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* 9. If Yes to 8, how much would you be willing to pay for a 5-person education session led by a Psychiatric Nurse Practitioner?

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* 10. If Yes to 8, how much would you be willing to pay for a 10-person education session led by a Psychiatric Nurse Practitioner?

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* 11. I am interested in bipolar education sessions led by a Psychiatrist.

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* 12. If Yes to 11, how much would you be willing to pay for a 5-person group education session led by a Psychiatrist?

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* 13. If Yes to 11, how much would you be willing to pay for a 10-person group education session led by a Psychiatrist?

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* 14. What services would help you?

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* 15. Please share any other feedback.

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