Thank you for considering working with me.
Taking the first step towards counselling can feel daunting, and I appreciate you taking the time to complete this form.
The purpose of this form is to help me understand a little about you, what has brought you to counselling, and what you hope to gain from our work together. Your responses will help me consider whether my approach and areas of experience are suited to your needs.
You do not need to have all the answers, and there is no right or wrong way to respond.
Please share only what you feel comfortable sharing at this stage.
Important information about urgent support
Please note that this form is not monitored continuously and is not an emergency or crisis support service. If you are experiencing significant distress or feel you may be at risk of harming yourself or someone else, please do not wait for a response to this form.
Immediate danger: Call 999 or attend your nearest A&E department.
Urgent mental health support in England: Contact NHS 111 and select the mental health option, where available.
Samaritans: Call 116 123, free of charge, at any time, day or night, if you need someone to talk to.
Shout: Text SHOUT to 85258 for free, confidential text-based mental health support, available 24/7.
Non-emergency medical support: Contact your GP for advice and support.
Once you have completed the form, I will review your responses and consider the next steps, including whether I may be able to offer support that is appropriate to your needs.
Thank you for taking the time to share a little about yourself.
