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Counselling enquiry

A gentle first step for people seeking counselling: preferences, availability and what they hope for, with a clear route to crisis support.

About 4 min to complete. therapy, counselling, wellbeing.

Use this template

Questions in this template

  1. Are you thinking about harming yourself or someone else right now?
  2. What would you like us to call you?
  3. Your email
  4. Who is the counselling for?
  5. What would you like support with?
  6. How would you prefer to meet?
  7. When are you free?
  8. Is there anything you would like your counsellor to know first?

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Starry sky above a mountain ridge

Taking the first step takes courage.

Share as much or as little as you like. This is an enquiry, not an assessment, and nobody will pressure you.
Takes about 3 minutes
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