New Client Questionnaire

UK Online Counselling

Please correct the errors described below.

If you are actively suicidal it may be that online counselling is not the most suitable service for your needs, as it does not provide an emergency service. We can however explore this together upon my reply to your form submission, so please don't feel you need to hold back with your answers about this. It will have no negative bearing on us working together and you will not be judged for it.

Rest Assured - Your Privacy
By submitting this form you are not subscribing or committing to anything. The information you provide will remain confidential and will be used only by me, Monica Sala (MSc) and only for the purpose of assessing your circumstances with a view to providing counselling. In the event that you decide not to proceed with online counselling for any reason, the details provided in your form submission will be automatically and permanently deleted from my records.

Under 18? click here

Your information will be encrypted.