Intake Form — School of Opulence

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Opulence for Everyone

Avant Garde Arts Therapy

Advocacy & Policy Efforts

LGBTQ Returning Citizens Reentry Alliance

Book an Appointment

Opulence for Everyone

Avant Garde Arts Therapy

Advocacy & Policy Efforts

LGBTQ Returning Citizens Reentry Alliance

Book an Appointment

Folder: About Us

Folder: Programs

Opulence for Everyone

Avant Garde Arts Therapy

Folder: Advocacy & Policy Efforts

LGBTQ Returning Citizens Reentry Alliance

Book an Appointment

We’d love to get to know you!

Intake Assessment Form

Welcome!

We’re excited you’re here. Please take a few minutes to complete this short form so we can better understand who you are and how we can support you.

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

Race / Ethnicity:

Black/African American

Latinx/Hispanic

Asian

Native/Indigenous

White

Middle Eastern/North African

Multiracial

Prefer not to say

Gender Identification:

Male

Female

Nonbinary

Transgender

Genderqueer

Prefer not to self-describe

Sexual Orientation:

Lesbian

Gay

Bisexual

Queer

Straight

Intersex

Asexual

Prefer to self-describe

Are you currently seeking services from School of Opulence?

Yes

No

Not sure yet

If yes, what do you need support with? *

How did you hear about School of Opulence?

Thank you for sharing! 💜

Your responses will help us create spaces, services, and opportunities that reflect and uplift our community.

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We believe that connection is the foundation of health, dignity, and joy for queer people of color. By staying in touch, you help us build stronger networks of care, share vital resources, and create spaces where our community can thrive. Every conversation, collaboration, and contribution brings us closer to a future where wellness and justice are within everyone’s reach.