Support Group/Talk Tracker Date MM slash DD slash YYYY Group Men's Talk Men's Support Facilitator NameDean EnedyDennis ShinskiSteve RobinsonVaughn DueckOtherIf you replied other what was the facilitators name:Number of Participants01234567891011121314151617181920City of GPCounty of GPMD GreenviewOtherGroup ThemesCommunication (Please select all that apply) Boundaries Conflict Resolution Positive Communication Skills Coping Skills (Please select all that apply) Healthy Unhealthy Other If You Replied Other Please Clarify:Life Events (Please select all that apply) Death Current Events Finances Employment Grief & Loss Trauma Abuse Feelings/Emotions/Behaviour (Please select all that apply) Anger Assertiveness Forgiveness Guilt Jealousy Lonliness Motivation Regulation Self-loathing Shame Tolerance Trust Vulnerability Other If You Replied Other Please Clarify:Legal (Please select all that apply) Court Custody Mental Health (Please select all that apply) Stigma Suicide Ideation/Risk Mental Illness (Please select all that apply) Anxiety Bipolar Disorder Depression PTSD Other If You Replied Other Please Clarify:Physical Health (Please select all that apply) Chronic Illness Healthy Living Sexual Health Other If You Replied Other Please Clarify:Relationships (Please select all that apply) Healthy Loss/Breakdown Parenting Unhealthy Other If You Replied Other Please Clarify:Resources (Please select all that apply) Crisis Community Mental Health Substance Use Treatment Substance Use & Addictive Disorders (Please select all that apply) Alcohol Gambling Sex Other If You Replied Other Please Clarify:Wellness (Please select all that apply) Goal Setting Gratitude Positive Energy Self-actualization Self-care Other If You Replied Other Please Clarify:Other comments
