Child's Age: *

(Our program is for teens 13 to 19)

Is your child currently going to school? *

No, they've stopped going

They're in continuation school or online school

They're going, but it's a struggle

Yes, attending normally

Has your child received hospital-based mental health care within the past 12 months? *

Yes

No

Prefer not to say

What is the main reason you're looking for more support right now? *

Their symptoms are getting worse

Their current treatment isn't enough

They're transitioning home after hospital-based care

They've pulled away from friends and family

Something happened at school

Other

What's the one thing you most want us to understand before we talk?