Please fill in the details below so that we can get in contact with you.

Phone number *
Birthday *
Timezone *

We'd love to learn more about you and how you identify yourself.

What pronouns do you identify with? *
Which racial or ethnic group(s) do you most identify with?
What is your sexuality?
What are other important aspects of your identity we should know about?

Tell us what's on your mind.

What are you most worried about in your life right now? *
Do you have any mental health concerns?
How often do your mental health concerns affect your ability to perform day-to-day activities? (e.g. school, work) *

Help us find you the perfect group!

What are your goals for joining the group? *
What are you looking for from other people in your group? *
Is there anything else you'd like us to know that may be relevant in matching you into a group?
Also...we're about to complete matching for a couple of groups, let us know if you'd like to join one! Don't worry, if you prefer any of these groups, we'll match you based on your answers.
your commitment to shimmer

Your first 14 days will be on us! Afterwards, we ask for $29.99/month (discounted launch price!) to pay for our peer guides. If you're seeking financial assistance, please email us at—we care more about you accessing care than the price tag.

You must schedule a short consultation call in order to be matched into a group, please book a time slot below. *
How did you hear about us? *
Please fill in the required fields highlighted in red.
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