Meeting Summary Form

Facilitators Fill Out After Meeting

Your Email Address*
Group Information
Meeting Date*
Date Format: MM slash DD slash YYYY
Church Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Attendee Information
Total Number of Attendees*
Number of New Attendees
Number of Males in Attendance
Number of Females in Attendance
Number of attendees reporting this diagnosis (or family / loved ones)
Select the category which best describes their diagnosis:
Anxiety
OCD
Bipolar
PTSD
Depression
Schizo-affective disorder
Schizophrenia
Other Diagnoses
Family Member
Loved ones
# of Hospitalizations (If they mention it)
Number of attendees responding Yes to "Do you feel your mood is improving?"
Topic / Video
References / Exercises / Handouts Used
Mood / Tone of Group

WHAT WE BELIEVE

When hopeless people have a safe place to process their pain, and faith-filled hope is modeled and shared, they become hope-filled and thrive (in spite of their mental health challenge).

OUR MISSION

A mental illness seems to rob you of your future hopes and dreams. And hopelessness begins to take over.

The doctor, the therapist, and medicine are not enough in learning how to live life in spite of having a mental health challenge.

And those with lived experience (peers) can model and empower one another.

As peers, we believe there is hope, and it is possible to live well because we have been there.

We guide and support those with a mental illness, along with their loved ones, to find hope that is based upon research.

That they and their loved ones might have hopes and dreams again, so they live a faith-filled, full, and vibrant life.

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1-888-815-4673 info@www.freshhope.us

5421 N 103rd St, Ste 100
Omaha, NE 68134

Meeting Summary Form