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DBT Enrollment
DBT skills and unlimited support are just clicks away. We’re so glad you’re here. This short, totally private form will help your instructor learn more about your goals and make sure you get what you're looking for.
5
Questions
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1
What’s been bringing you here today?
*
This field is required.
Select all that apply.
I feel emotionally overwhelmed
I struggle with conflict or communication
I want healthier boundaries
I feel stuck in old habits or patterns
I want to improve my mental health
Other
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2
Which of the following are you MOST looking forward to?
*
This field is required.
(Just so we can tailor your experience. Scroll down to see all options.)
Please Select
The coping skills/resource library
Occasional check-ins or encouragement from others
Community Q&A or group discussions
Weekly coping skills classes
Please Select
Please Select
The coping skills/resource library
Occasional check-ins or encouragement from others
Community Q&A or group discussions
Weekly coping skills classes
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3
How would you rate your level of distress over the past week?
*
This field is required.
Choose at least one to rate.
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Energy
Relationships
Stress
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Mood
Energy
Relationships
Stress
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4
How would you rate your level of knowledge about DBT?
*
This field is required.
None
Expert
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None
Expert
Row 0, Column 0
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5
What’s your best email address?
*
This field is required.
(So we can send your access details.)
example@example.com
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