Collectors MD – Peer Support Virtual Meeting Screening Form

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Thank you for your interest in attending a Collectors MD peer support virtual meeting. These meetings are a safe, private space for those navigating the emotional, financial and behavioral impacts of compulsive collecting in the hobby. Please fill out the short form below so we can ensure a safe and supportive environment for all.

Email *

Full Name *

What brings you to Collectors MD? *

How did you come across Collectors MD? *

Which lane best aligns with where you are in your collecting journey right now?
*

Intentional Collecting: Continuing to engage with the hobby in a mindful, structured way - setting clear limits, focusing on meaning over impulse, and practicing awareness around triggers and spending.
Abstinence: Taking a complete break (either temporarily or permanently) from buying, selling, or engaging with hobby platforms to reset your relationship with collecting and rebuild healthier habits before returning (if at all).

Intentional Collecting

Abstinence

Have you ever experienced any of the following as a result of collecting? (Select all that apply)
*

Financial distress or debt

Strain in relationships

Difficulty stopping even when you want to

Shame, guilt, or secrecy

Mental health struggles (e.g., anxiety, depression)

Other:

Required

Do you currently feel in crisis or need immediate mental health support?
*

Yes

Not Sure

Have you attended any type of support group before?
*

Yes

Prefer Not To Say

Anything you'd like us to know before your first meeting? (Optional)

Would you like to be added to our phone list, group text, and/or Discord to stay directly connected with our community in between meetings? (Optional)

Phone List

Group Text

Discord

Phone Number (Optional)

Instagram Handle (Optional)

Would you like to sign up for the Collectors MD Monthly Newsletter? (Optional)

Yes

Clear selection

Acknowledgment & Waiver *

Please read and acknowledge the following:

Collectors MD is a peer-led community offering support through shared experiences. We are not licensed medical professionals, therapists, counselors, attorneys, financial advisors, or religious leaders. The conversations and advice shared during meetings should not be interpreted as professional medical or legal advice.

All discussions held within Collectors MD meetings are strictly confidential. By joining, you agree not to share the identities, stories, or personal information of others outside of the meeting. Additionally, no statements made in a meeting may be used to press legal or civil charges, initiate legal proceedings, or be recorded for any purpose without express permission.

This is a safe space, built on trust and mutual respect. To protect that trust, all participants must also review and adhere to the Collectors MD Privacy Policy, which outlines our full commitment to confidentiality, community standards, and participant rights.

Violations of this agreement—or of our Privacy Policy—will result in removal from the group.

Do you acknowledge and agree to the waiver above and to abide by the Collectors MD Privacy Policy?

Yes, I understand and agree.

No, I do not agree (you will not be admitted to a meeting)

Submit

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