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Bleu Onboarding Survey

A social support group for the brothers.
Bleu is built on trust, Your information is kept private and handled with care. See full privacy statement at the end.

First Name

Last Name

Preferred Name or Nickname

Age Range

Age Range
A
B
C
D

Home Address

City

State

Zipcode

Phone Number

Email

What made you interested in joining "Bleu"?

What does brotherhood mean to you?

What areas of life are you currently working on?

(Select all that apply)
What areas of life are you currently working on?

Do you currently feel like you have a strong support system?

Have you ever felt alone, overlooked, or unsupported as a man?

What’s something you’ve been dealing with that you don’t usually talk about?

*Please feel free to share, but this response is NOT required

Bleu is built on respect, honesty, and accountability. Are you willing to show up as your authentic self?

Can you commit to attending sessions consistently?

How often could you commit to attending sessions?

How often could you commit to attending sessions?
A
B
C
D

Are you open to faith-based conversations, prayer, and growth?

What days are you typically available?

(Select all that apply)
What days are you typically available?

What times work best for you?

(Select all that apply)
What times work best for you?

What would you be interested in?

(Select all that apply)
What would you be interested in?

Would you be open to receiving periodic text messages from Bleu that uplift, inspire, and motivate?

How often would you prefer to receive messages?

How often would you prefer to receive messages?
A
B
C
D

What is your shirt size?

What is your shirt size?
A
B
C
D
E
F

Any comments, questions or suggestions:

Bleu stands for Brothers Lifting Each Other Up.
This is more than a group — it’s a brotherhood.
A space where men can show up real, be heard, grow, and build with other men who get it.

Not everyone is ready for this — but if you are, we’re glad you’re here.

Privacy & Confidentiality Disclosure Statement

At Bleu (Brothers Lifting Each Other Up), we understand that trust is everything.

All personal information shared through this form will be kept private and confidential and used only for the purpose of communication, group placement, and supporting your experience within the BLEU brotherhood.

We do not share, sell, or distribute your information to outside parties.

What you share with us matters—and we honor that with respect, discretion, and integrity. Bleu is built on trust. What is shared within the brotherhood stays within the brotherhood.

While we strive to create a safe and respectful environment, each member plays a role in upholding this standard of confidentiality and respect.

I have read and agree to the Bleu Privacy & Confidentiality Disclosure Statement.

I have read and agree to the Bleu Privacy & Confidentiality Disclosure Statement.