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Counselling Enquiry Form

Thank you for your interest in working with me at Kairos Counselling. Feel free to send me some information so I can understand what you might be looking for in counselling. My working days are between Monday and Friday and I aim to respond within 3 working days.

Kairos Counselling is not a crisis support service.

If you're experiencing a mental health crisis please reach out for the appropriate support.

You can find details of where to get immediate help on the 'Resources' tab of this website.

How did you hear about Kairos Counselling?
Have you had counselling before?
Yes
No
Have you been diagnosed with a mental health condition?
Yes
No
Self-diagnosed or self-identified
Are you taking any medication for your mental health?
Yes
No
Are you currently working with any other mental health professionals?
Yes
No
Would you like Rachel to get in touch with you?
Yes please
No thanks, I'd prefer to make contact again when I'm ready

If you'd like me to contact you, please add your details below:

Choose how you'd like me to contact you. Pick all that apply
Is it ok to leave a voicemail?
Yes
No

I aim to try and make contact within 3 working days. My working hours are between Monday and Friday.

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