BetterHelp FREE Therapy Signup
Help Real Queens expand access to FREE therapy through BetterHelp! How? 

Tell us a little about who you are and your experience using BetterHelp!

OR

You can sign-up for FREE therapy, IF you identify as a woman or girl ages 15 and older!
AND
You are experiencing at least ONE of the following:
- Identify as a woman
- Low-income
- Unemployment
- Uninsured
- Unhoused
Sign in to Google to save your progress. Learn more
Email *
Have you signed up for BetterHelp FREE therapy with the Real Queens voucher?
*
If yes, what was your experience? (Share only what you would like to)
Do you have access to therapy through insurance? *
What is your identified gender? *
What is your race? Select all that apply. *
Required
What is your age range? *
What is your zip code? *
What is your household income range? *
How many people are in your household? *
If you were not able to get a free therapy voucher, would you like to be notified when more vouchers become available?
Clear selection
If yes, what is the email we can use to contact you? *
Phone number we will only contact you if we need to troubleshoot issues) *
Once completed, the confirmation page will display the voucher information and it will also be emailed to you within 72 hours from info@realqueens.org.
Please check your spam folder or email brandie.meister@realqueens.org for assistance.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Real Queens Fix Each Others Crowns. Report Abuse