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Please take a moment to fill out this survey so we can best serve your needs.
All information will remain confidential. At the end of the survey, you will have a
chance to enter a drawing for A Night out at the Movies!

Please indicate which classes/groups would be of most interest to you.
Child care would be provided.  For course descriptions,
Click Here to
be redirected to our Group Files
.

Please check all that apply:
___ Auto Maintenance: How to Do it Yourself
___Between Women: A Group for Enhancing Woman’s Friendships
___Career and Life Planning
___Career and Life Planning for Minority Students
___Coping with Anger
___Coping with Stress and Anxiety
___Defeat your Self-Defeating Behavior:
Understanding and Overcoming Harmful Patterns
___Depression Management
___Dealing with Difficult Adolescents
___Dissolving Relationships
(For those who have decided to divorce or separate)
___Getting Off the Emotional Roller Coaster
___Healthy Expressions of Anger
___Human Sexuality
___Home Buying: Tips and hints for first time home buyers
___How-to-Fix-It: Simple repairs to save you money
___Intimate Relationships: Changing Old Patterns
___Jealousy Workshop
___Kids Group Therapy Program
(For kids 5-12 with normal or potentially normal IQs, experiencing
                                                                                                           problems in self-concept, affective abilities and/or peer skills)
___Overcoming Addictive Relationships
___Perfectionism: The Double Edged Sword
___Preparation for Marriage Workshop
___Self-Assertion Skills Workshop
___Resolving Personal Loss
___Self-Enhancement Group (Self Esteem Building)
___Self-Nurturance: Developing the Necessary Skills
___Shame and Self-Sabotage:
Coping with the legacies of troubled families
___Shyness Clinic
___SMILE Parents Social Club
___Stress Management
___Surviving Dysfunctional Families
___Study Skills Program
___Surviving Rape
What Time of Day would a classes work best for you (Check all that apply):
___Morning 9am-12pm
___Afternoon: 12pm-4pm
___Early Evening 4pm-7 pm
___Late Evening 7pm-10pm
Thank you for your participation. If you have a special skill or other idea for a class you would like to
see offered, please email us at
smileforchildren@hotmail.com or call us at 614-668-4731.

Sincerely,

The SMILE Team
What Day(s) of the week would classes work best for you (Check all that apply):

_Monday
_Tuesday
_Wednesday
_Thursday
_Friday
_Saturday
_Sunday
Survey
Please click button to submit.