此表協助雙方在第一次對話前建立基本輪廓,約 5 分鐘。一週內以 email 回覆,急件請在情境描述中註明。請勿在此表附上對話內容或任何敏感材料。
This form takes about 5 minutes and gives both sides a shared starting point. Replies go out by email within one week. Do not paste conversation content or sensitive material here.
若你或身邊的人正處於自傷或傷人危機,請立即聯繫台灣安心專線 1925、生命線 1995,或撥打 119。 / If you or someone near you is in crisis, in Taiwan call 1925 (mental health support line), 1995 (Lifeline), or 119.