Mindfulness and Mental Health

  • Home
  • /
  • Mindfulness and Mental Health

Mindfulness Deep Breathing

PLL Nonprofit X Better Help Intake Form

To determine if you qualify for 6 months of free therapy hours, please fill out this preliminary intake form.

How your information will be used.

Thank you for answering the questions above. We keep your name and demographic information for the purpose of assisting you and providing services to your specific needs. Any other information gathered will be used to improve and develop services to help empower and protect other women and children.

We will not share your email address or other information to third parties except in the case of an affiliate or referred resource to help you and your family.

Filling out this form automatically adds you to our database to receive updates on opportunities and events from PLL Nonprofit and Aziza Kibibi LLC.

Please check below if you agree and it is safe for you to receive links, resources and communications through text message. Data and messaging rates may apply. *
While we understand it may be difficult to relive a traumatic experience, some details will help us to provide better services and resources to you and others.
Example: food, funds, diapers, clothing, emotional support, legal, shelter...
Checking the box below means that you acknowledge that any products and services you receive from Precious Little Ladies Inc (PLL) and its partners and affiliates are of your own free will. It is our mission to provide you with services to empower and help yourself.

"Girl We've Got You Covered!" bags contain health and beauty products including, but not limited to, makeup (foundation, concealer, blush, lip gloss, etc), lotions, body wash, soap and other products used for hygiene and self care. Since these items are being donated, it is up to the recipients to read all labels to ensure they are not allergic to any ingredients in the products.

By checking the box below, you agree to absolve Precious Little Ladies Inc. and its partners and affiliates from any responsibility of harm and/or damage that could arise after accepting our services, products, and/or referrals.