Please note that the service is intended for adults.
How did you hear about Relief and the individual support service? Who or what referred you here to complete this form?
Have you ever attended a self-management workshop with Relief or a Relief partner?
If so, which workshop(s)? Tick the workshop(s) you have attended.
What mental health issue(s) do you live with?
What are your expectations for the first session?
Please indicate your preferred session format
I understand that the one-hour theme-focused sessions with the mental health worker will be held every two weeks.
If you have chosen a virtual session, can you confirm that you have a computer, a webcam, a microphone and the Zoom app [free]?
I acknowledge that all virtual meetings take place with cameras on and that I am comfortable with technology.
I understand that the in-person sessions will be held in Montreal at 418 Sherbrooke St. East.
I confirm that I have read the terms and conditions of the service.
By checking this box, I consent to the collection and processing of my personal information in accordance with Quebec's Law 25. I understand that this information will be used solely for the purpose of the provided service and will not be shared with third parties without my explicit consent.