Contact Us
Ask us questions, pay us a compliment, or have someone get in touch with you! Fill out this form and we'll be in touch shortly.
Please Note!
Please Live is not a counseling or service agency. If you or someone you know is hurting, please reach out to one of the below places. Note that "crisis" does not just mean suicide - you can reach out for any reason if you're having trouble coping or if you're worried about a loved one.

National Suicide Prevention Lifeline: 1-800-273-8255
National Crisis Text Line: Send a text to 741-741
Chat Online at www.CrisisChat.org or www.ImAlive.org
Free active listening at www.7cups.com
Find your county's mental health/crisis intervention department here: https://www.cor.pa.gov/Documents/PA%20County%20Crisis%20Contacts.pdf

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Your Message *
Your answer
Submit
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.