Registration This will take a maximum of 3 minutes. I understand* 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, counselling or mental health treatment service. Name* First Last Email* Are you currently living in Australia?*YesNoAre you currently experiencing loneliness, despair, depression, lack of connection to others?* Yes No Have you ever, either currently or in the past, had experiences that have left you with trauma i.e a deep, long lasting emotional impact?* Yes No If so, does this trauma currently cause significant disruptions to your mood, functioning or capacity to live a meaningful life?* Yes No Are you currently experiencing issues relating to domestic and family violence, disordered eating, or addiction? Yes No Have you experienced over the past 4 weeks, frequent and intense thoughts of suicide?* Yes No Have you previously sought support from 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?NameThis field is for validation purposes and should be left unchanged.
