6th Annual Smash the Stigma

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* First name

* Last name

* Email address

Primary synagogue affiliation (if any)

How did you hear about this program?

Shearith Israel emailCommunity partner emailFrom a friendFacebookOther

Please Select OneActive Minds | Yeshiva UniversityBase UWSB'nai JeshurunDarkhei NoamGalimLincoln Square SynagogueMarlene Meyerson JCC ManhattanManhattan Day SchoolOhab ZedekRodeph SholomSAJShaaray TefilaThe Jewish CenterWest End Synagogue

* Are you a Young Professional (20s-30s)?

Please Select OneYesNo

* How many people are attending?

PeoplePlease note: This is an in-person event.

Are you drawn to this program because (Check all that apply):

You're seeking support and resources to address your own mental health concernsYou're seeking support and resources to help you support a family member who is strugglingYou're seeking support and resources to help you support a friend or community member who is strugglingYou don't have immediate concerns but want to be supportive and prepared when a situation arisesOther

Feel free to elaborate (we will not attribute anyone's comments by name):

Would you like to submit a question for the panel to answer?

Please note that there may not be time for panelists to answer all questions, but they will get to as many as they can. If you think of a question later, you can email it to srosenberg@shearithisrael.org.

Have you ever attended Smash the Stigma before? Check all that apply

OnceMultiple timesIn personOn Zoom

Sun, May 19 2024 11 Iyyar 5784

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