PartnerSPEAK Support
PartnerSPEAK can offer support in various ways. This form will help us understand the best ways we can support you.

We will keep your information private at all times and will only contact you at your request and on your terms.

Name *
Or name you would like us to use, this can be a pseudonym
Your answer
What is your preferred method of contact? *
How would you like us to contact you after you fill out this form? We will ask you for your contact details in the next questions and you can provide email or phone as you feel comfortable. If you would prefer a different method of contact to these, please let us know here.
Phone number
Please include any instructions (e.g. please only call after hours).
Your answer
Email address
Your answer
What part of Australia are you in? *
Your answer
How can we best support you? *
(tick as many as applicable)
How did you find out about PartnerSPEAK?
Is there any other information you'd like a peer support worker to know before meeting you:
Your answer
Are there any barriers for you to connecting with PartnerSPEAK that we can support you with?
We understand that reaching out to PartnerSPEAK be challenging for you for practical and emotional reasons. Are there any ways we can better accomodate you? If you have concerns about the security of your phone or computer we can offer suggestions for securing your device. Please also let us know if you need practical accomodations due to disability or for other reasons.
Your answer
Any other comments or questions
Your answer
More details about support opportunities
PartnerSPEAK offers face-to-face one-on-one support (currently only available in Melbourne) as well as online video support, telephone support and support through our online forum. PartnerSPEAK peer support groups are closed groups, facilitated by a peer support worker, that meet together for five sessions. Times and locations vary, including online. There is a cost for these groups, but there are partially and fully subsidised places. PartnerSPEAK holds small gatherings every second month for members of the PartnerSPEAK community to come together. These events include affected partners and family members who have either attended a peer support group or who are interested in attending a peer support group, PartnerSPEAK staff, volunteers, Board Members and others who are committed to PartnerSPEAK's work. Location to be advised upon RSVP.
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