contact us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right.

860 Keller Smithfield Rd
Keller, TX, 76248

817-431-1410

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STEPS Form

THANK YOU for registering for the STEPS study at The Mount. We will be in contact with you soon. Your next "step" is to complete the short questionnaire form below to help us make proper preparations for your STEPS experience. *
THANK YOU for registering for the STEPS study at The Mount. We will be in contact with you soon. Your next "step" is to complete the short questionnaire form below to help us make proper preparations for your STEPS experience.
Please answer a few brief questions to help us get to know you better.
Contact Number *
Contact Number
Gender *
If yes list names, ages, and allergies of all children that will attend.
Have you ever participated in a Recovery Program before? *
Check all that apply:
The below questions are optional and confidential to the recovery leaders. By answering below it will help to partner you with a specific leader that will best serve you.
Are there areas you are currently struggling with?
Check all that apply
What might hinder you from completing the 13 weeks of Steps?
Check all that apply:
What is your best availability to meet with your mentor throughout the week? *
Check all that apply.