Highway Expression of Interest Form

Ready to connect with yourself?

Hey there, I’m Isha from Highway Foundation! We’re here to create a relaxed space for you to pause, reflect, and check in with yourself—whether you’re exploring life’s big questions or just want to find a little clarity. It’s a simple one-on-one video call with one of our trained volunteers who’ll listen without judgment. No counseling, no fixing, just a moment for you. Not therapy or crisis support, but a chance to hear your own thoughts. If that feels like your kind of thing, fill out this form, and I’ll reach out to get you started!
Full Name*

First NameLast Name
Email Address*
We’ll use this to send you next steps.
Phone*
Please enter a valid AU phone number.
Age (18+ only)*
Gender*
Ethnicity*
Postcode*
What interests you about Highway?*
What's your headspace like right now?*

I’m just looking to explore my thoughts and goals.I’m feeling a bit lost and I want to reflect and find clarity.I’m struggling and need someone to help solve my problems.I’m in a tough spot and need urgent mental health support.
Note: Highway Foundation isn’t therapy or crisis support. If you’re in a tough spot, we’ll point you to resources that can help.
Where did you hear about Highway Foundation?*
What day is best for a call?*

WednesdayThursdayFriday
And, what time is best for a call?*
This is only a 15 minute introduction call to get you booked into your Highway Session.
Anything else you want us to know before we reach out? (Optional)
At Highway Foundation, we value your privacy. All personal information you provide in this form will be stored securely and used solely for the purpose of facilitating your participation in our program. We will not share your details with third parties without your explicit consent, except as required by law. Our trained volunteers are committed to maintaining confidentiality, ensuring your discussions remain private, except in cases where there is a legal obligation to disclose information (e.g., risk of harm). By signing this form, you acknowledge that you understand how your data will be handled. For more details, please contact us at traffic@highwayfoundation.org.
By hitting submit, you’re saying you’re keen for a Highway call to explore your thoughts—not for counseling or crisis help. I'll give you a call soon to explain the next steps!

Thanks,
Isha - Highway Foundation
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Ready to connect with yourself?