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Peer Support South East Ontario
Peer Support South East Ontario
Visit A Centre
Virtual Peer Support
Contact Us
English (Canada)
Français du Canada
About
Collaborative Partners
Peer Support South East Ontario
Visit A Centre
Virtual Peer Support
Contact Us
English (Canada)
Français du Canada
About
Collaborative Partners
Community Peer Support
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Name
*
First
Last
Personal Pronouns
she/her/hers
he/him/his
they/them/theirs
other
Gender message? Please
Email
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Phone
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Address
Date of Birth
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Preferred Language
English
French
Other: Please see below
Other: Please specify preferred language
Living Arrangements
Alone
Alone with pets
lives with partner(s)/married/common-law
with family / caregiver
with room-mates
unhoused
transitional or vicariously housed (couch surfing, shelter, etc.)
Gender
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Female
Male
Non-Binary
Other
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