Connect with a Peer at Emotions Matter

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for reaching out to Emotions Matter and expressing interest in our Peer Connect Program. The purpose of this program is to connect with people with lived experience of borderline personality disorder with a peer who also lives with BPD for short-term support, as well as answers to your questions about Emotions Matter and BPD recovery resources.

My name is Kristin Fahlbusch, and I am a Peer Support Specialist at Emotions Matter. I am very grateful to connect with you either via email or Zoom video chat.

I am currently available by appointment on:

- Mondays, 10:00am to 12:30pm EST

- Mondays 7:00 to 8:00pm EST

- Thursdays, 10:00am to 12:30pm EST

To schedule an appointment, please complete the following Google Form so I have some information about you, your interests, and how I can best support you.

When you complete the Google Form, I will email you an welcome letter within a week of your inquiry, and invite you to utilize a link to my calendar, to choose an appointment time based on your preferred method of communication.

Thank you for supporting Emotions Matter and I very much look forward to meeting with you soon! Please email me at programs@emotionsmatterbpd.org with any questions.

First Name *

Last Name *

Email Address *

City *

State/Province *

Country *

Pronouns *

Preferred method of meeting: *

Zoom video chat

Preferred Date and Time Availability

Monday Morning 10 a.m. to 12:30 p.m. EST

Thursday Morning 10:00 a.m. to 12:30 p.m. EST

Monday Evening 7 p.m. to 8:00 p.m. EST

What type of information are you seeking from Emotions Matter? (select all that apply) *

Information about Borderline Personality Disorder (BPD)

Information about finding providers (therapists/psychiatrists/DBT practitioners)

Information about Emotions Matter, Inc.

Information about Emotions Matter's BPD Peer Support Groups and other programs

Information about treatments for BPD

Information about BPD recovery resources, such as books, videos, podcasts, etc.

All of the above

Other:

Required

Is this your first interaction with Emotions Matter? *

Yes

If no, what programs or groups from Emotions Matter have you previously attended?

How did you hear about Emotions Matter? *

Is there anything else you want us to know before connecting? *

I understand this is not therapy and I consent to the attached online waiver. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Emotions Matter, Inc..

Does this form look suspicious? Report

Forms