Chat Registration:







The following is used for conversational purposes only and is optional.
First Name

Before connecting you with a counselor, we’d like to ask you a few questions about how you found us and how we can help you. We also use this information to improve our services overall. Please select your state: *
Select country if outside the United States
Have you contacted us before? *
How did you hear about us? *
If other, please specify
What is your age (in years)? This helps us give you an appropriate response and resources *
Did you find us through WhatsOK? *
What is your main reason for contacting us today? *
If other, please specify:
How would you rate your current level of worry? *
If you are contacting about your own sexual feelings, interests, and behaviors, we have two last question before we connect you to a counselor. --- How much do you agree with the statement: “My thoughts are uncontrollable”
If you are contacting about your own sexual feelings, interests, and behaviors --- Are you interested in learning about how to create a plan to keep yourself and others safe from unwanted sexual behaviors?

To enable Google Chat or SMS (text) communications please provide the following info:
Cellular Number:


(more details)

Verification: To complete the registration, solve the CAPTCHA and click "Start".
(this additional step helps prevent malicious and automated attempts to access the site)