General Inquiry Form
Your full name
Your email
Your phone number
Type of counselling session.
For example, a face to face session
or remote session via Facebook messenger.
Nature of session.
For example, grief -experienced recent loss of partner
or anxiety since COVID restrictions.
Urgency of your session.
If you believe you need your session urgently please explain why.
Goal/s for counselling.
Please specify the main goal/s for counselling that you would like to achieve. For example, you may need to overcome anxiety regarding job loss or are looking for emotional support during period of grieving.
Additional information (optional but useful).
Please describe your situation and give any specific information that you believe may be useful for the counsellor. This will allow the counsellor to be well prepared for your initial counselling session and figure out which counselling approach/therapy could be particularly beneficial for you.
Other questions (optional).
If you have any other questions relating to counselling,
please write them here.
to 'about me'