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Request a code: online peer support chat
The online peer support chat is only available for people in Canada.
The online chat code will appear once you have completed the survey!
Email Address
Have you been on the online chat in the past 3 months?
Yes
No
What is your postal code?
How did you hear about this online peer support chat?
Are you looking for support for
Myself
Someone that I care about
Thinking of the reason you are contacting us, have you spoken to anyone else about your problem or situation? Choose as many as apply.
A friend
A family member
A professional or counselor
My family doctor
Someone else
I haven't spoken to anyone else
Overall, do you feel:
Not at all
A little
Somewhat
Mostly
Very much
Listened to and understood
Alone in my struggle
Hopeful for my own recovery
Able to cope
Motivated and accountable
How would you rate your coping right now?
1 not at all to 5 really well
Anything else that you'd like to share?
Done
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