Book a call with one of our experienced eFriend Peer Support Workers!

You are not alone and our team are here to listen, empower and provide hope. Take a positive step in your recovery towards a better and brighter future by completing this short questionnaire now to ensure that we can meet your needs.

This will take a maximum of 3 minutes.

Is eFriend right for you?
I understand that eFriend is a virtual peer support service and offers befriending sessions to connect with people feeling down, stressed, lonely, isolated or worried. I understand that eFriend is NOT a crisis service.*
- I understand that eFriend is NOT a crisis, counselling or mental health treatment service.

Your Details
Name*
First Last
Email Adress*

General Wellbeing
Is eFriend right for you?
1.Are you feeling down, stressed, lonely, isolated or worried?*
- Yes
- No
2.Are you currently experiencing, or have you experienced over the past 2 weeks, significant trauma?*
- Yes
- No
3.Are you currently experiencing, or have you experienced over the past 2 weeks, thoughts of suicide?*
- Yes
- No
Have you previously raised concerns with anyone about your wellbeing?*
- Yes
- No
Have you previously accessed Mental Health Services?*
- Yes
- No
Are you currently accessing Mental Health Services?*
- Yes
- No
Do you have a mental health diagnosis?*
- Yes
- No
If yes, please specify
What are your current support networks? (Please tick all that apply)*
- Family
- Friends
- Mental Health Service/s
- Community group/program
- None
- Other (please specify)
Other (please specify)
How can eFriend support you? (Please tick all that apply)*
- Feel less lonely
- Refer me to resources/services that can help me
- Offer the chance to talk to someone who understands
- Learn strategies for improving my mental health
- To talk about COVID
- Other (please specify)
Other (please specify)
Is there any other information you’d like to provide that may be relevant?

© Independent Community Living Australia | Website developed with ❤️ by Katberg Digital

© Independent Community Living Australia

Website developed with ❤️ by Katberg Digital

Independent Community Living Australia eFriend Service is supported by funding from the Australian Government.