Skip to content
Counselling and Psychotherapy
Coaching
Mediation
Ask a Therapist
Talk to an Expert
Talk to an Expert
Ask a Therapist
Coaching
Menu Toggle
Coaching Agreement
Coaching Form
Counselling and Psychotherapy
Menu Toggle
Pre-Counselling Form
feedback form
Home
Mediation
Privacy Policy
Talk to Us
Terms and Conditions
Who Are We
Main Menu
Counselling and Psychotherapy
Coaching
Mediation
Ask a Therapist
Counselling and Psychotherapy
Coaching
Mediation
Ask a Therapist
Talk to an Expert
Talk to an Expert
Ask a Therapist
Coaching
Menu Toggle
Coaching Agreement
Coaching Form
Counselling and Psychotherapy
Menu Toggle
Pre-Counselling Form
feedback form
Home
Mediation
Privacy Policy
Talk to Us
Terms and Conditions
Who Are We
Main Menu
Counselling and Psychotherapy
Coaching
Mediation
Ask a Therapist
Pre-Counselling
Full Name
Age
Sex
Male
Female
Marital Stats
Address
Email Address
Phone No
BACKGROUND
What do you enjoy doing or are you passionate about?
What is the problem or issue that you need counselling for?
What have you done about it in the past?
How do you know you have this problem?
How is it a problem for you now specifically?
How much time does it take?
How long have you had this problem? Was there a time it wasn’t there?
Tell me the first time that you remember this problem started
Tell me about your childhood in relation to this problem
Tell me about your father, mother, and siblings in relation to this problem
What do you want from this counselling/therapy?
Submit form
Scroll to Top
GDPR Cookie Consent with Real Cookie Banner