Talk to a Mental Health Professional about COVID-19 Challenges
As a lot of community members are feeling anxious and/or stressed about daily obstacles surrounding COVID-19, a couple community members put together this service to link mental health professionals with community members in need. Fill out this form to be connected with a mental health professional to set up a digital meeting to talk about challenges that you and/or your family is facing during this pandemic.
Sign in to Google to save your progress. Learn more
What's your name? *
How old are you? *
What's your preferred email address?
What's your phone number?
What specifically would you like to speak to a psychologist about?
Is there anything else you'd like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Georgetown University. Report Abuse