Tell us what's been happening and what kind of support you're hoping to find. You don't need to have the right words — just be honest.

This is the most important question on this form. In your own words, tell us what you're hoping therapy will help you with — and what your life might look like if things began to shift.

Therapy works when you show up — even on the hard weeks. Please be honest with yourself before answering.

The Sevenstorys Fund covers part of the session cost. You will be responsible for contributing the remaining portion. This is intentional — research shows that people who invest in their own therapy, even partially, engage more deeply and see better outcomes.

(This helps us assess need and determine the appropriate subsidy level. All information is confidential.)

This is your space. Anything that feels important and didn't fit elsewhere — say it here.

By submitting this application I confirm that the information I've provided is honest and accurate. I understand that a place in the Sevenstorys Therapy Fund is not guaranteed and is subject to availability and assessment. I commit that if I am selected, I will attend my sessions, contribute my portion of the cost, and engage with the process in good faith.