nonprofitsupport groupmental healthcommunitypeer support
Peer Support Group Registration — Form Fields
This nonprofit template includes 8 fields. Register to join one of our peer-led support groups for individuals facing shared challenges. Free to customize and use on ZenBuild.
Full Name (text, required)
Email Address (email, required)
Phone Number (text, optional)
Support Group of Interest (dropdown selection, required) — options: Grief & Loss, Anxiety & Depression, Caregiver Support, Addiction Recovery, Chronic Illness, Parents of Teens
Preferred Format (multiple choice, required) — options: In-person, Online / Virtual, Either
Have you participated in a peer support group before? (multiple choice, optional) — options: Yes, No
What brings you to this group? (Optional — kept confidential) (long text, optional)
Acknowledgment (checkboxes, required) — options: I understand this is a peer support group, not a substitute for professional mental health treatment
