To begin, tell us why you’re looking for help today
- I'm feeling anxious or panicky
- I'm having difficulty in my relationship
- A traumatic experience
- I've been having trouble sleeping
- I'm navigating addiction or difficulty with substance abuse
- I'm dealing with stress at work or school
- I'm feeling down or depressed
- Something else
Want to connect directly?
Contact us by live chat, phone or email to connect with someone from our team.
1-877-777-5808 
info@recoverinhome.com In the past two weeks, how have you been doing?
Want to connect directly?
Contact us by live chat, phone or email to connect with someone from our team.
Select any statements that apply to you. You can choose multiple.
- I often doubt myself
- I’m feeling worthless
- I struggle to enjoy things I used to like
- Stress is making me withdraw from social life
- My mental health is negatively affecting my physical health
- None of the above
Want to connect directly?
Contact us by live chat, phone or email to connect with someone from our team.
What is your date of birth?
As a healthcare provider, we need to ask this.
MM/DD/YYYY
Want to connect directly?
Contact us by live chat, phone or email to connect with someone from our team.
Back to Questionnaire
Book an Appointment
Please select a preferred date and time for your appointment. We will confirm your appointment request shortly, or get back to you with an alternative time if your first choice is not available.
149 Willowdale Ave, North York, ON M2N 4Y5