Peer Connection Log (Update 3/3/26)Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your name *FirstLastYour email *Support seeker first name *Support seeker last initial *A connection is defined as all conversations within a day. A text conversation about the same topic over multiple days should be entered as the total number of days the conversation took place. Most recent connection date *If you have additional connections to report, please ONLY list the most recent connection here.Please list the total number of ADDITIONAL connections you are reporting.Connection type (please choose all that apply)TextPhoneVideoEmailIn personOtherTOTAL TIME, in minutes, for all connections reported.Please include the the TOTAL time for ALL connections reported.Connection notes *Follow up plan *Already scheduledI will follow upI will wait for the support seeker to follow upOther (please explain in connection notes above)Expected date of follow up (if applicable) recent Submission follow I would like to chat with the Zach's Bridge team to discuss my matchYesNoSubmit Peer Connection Log
