Expression of Interest & preferences for participating in future My Recovery programs

  • Complete the following questions to express your interest in participating in future My Recovery programs and your preferences for participating. We will contact you to confirm receipt and later to provide session dates / times and confirm your interest. Please note: If you are completing this form for someone else, it is expected that person has provided you with consent.
  • select all that apply
  • select all that apply
  • select all that apply
  • Preferences for Participating

    In the following questions you will be asked about your preferences for participating in future My Recovery programs. Please note: My Recovery programs consists of 9 sessions, that are each 3 long. However, sometimes programs are run in the evenings as 2 hour sessions. Light refreshments are provided during each session and there is no cost to attend.
  • select all that apply
  • select all that apply
  • select all that apply
  • (e.g. participation during school term, participation before/after specific dates, venue close to public transport.)