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You are on the path to support. To link information across survey submissions be sure to give the same email address on all forms. 

To move your INTAKE forward you must accomplish 3 survey forms: 

1. Group Intake Survey - approximately 5 minutes

2. Emotional History Survey - approximately 5 minutes

3. Income Questionnaire - approximately 3 minutes 

Once all surveys are accomplished, please complete the below items and SUBMIT BELOW... which will result in the 3rd and final step in this INTAKE process ~ an appointment to have a real conversation with a Healing Justice provider. 

INTAKE STEP 2 was submitted!

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