I am above 18 years of age
* Please Select an Option
I expect my therapist to be fluent in
* You May Select Multiple Options
I expect my therapist to be knowledgeable in religion
* Please Select an Option
- Yes - Christianity
- Yes - Islam
- No
I prefer to be matched with a therapist of a specific gender
* Please Select an Option
- Female
- Male
- It doesn't matter
I have been in counselling or therapy before
* Please Select an Option
- Yes, but I have different challenges today
- Yes, but it didn't work out
- Yes, but I would like to take things further
- No
I can identify my challenge(s) as:
* You May Select Multiple Options
- Existential questions
- Parenting
- Depression
- Stress and anxiety
- Trauma
- Self-confidence issues
- Loss and grief
- Anger management
- Mood swings
- Gender issues
- Relational issues
- Sexual issues
- Sleeping disorder
- Addiction
- Binging behaviour
- Suicidal thoughts
- Suicidal attempts
- Self-harm behaviour
- I don't know
How did you hear about us?
* Please Select an Option
- Instagram
- Facebook
- LinkedIn
- Tik Tok
- Twitter
- Radio
- TV
- Online publication
- Search engine
- Influencer
- Word of mouth
- Friend or colleague
- Other
In the past two weeks, how would you describe yourself investing your personal interests and passions ?
* Please Select an Option
In the past two weeks, how would you describe your sleeping patterns ?
* Please Select an Option
In the past two weeks, how would you describe your appetite and eating patterns ?
* Please Select an Option
In the past two weeks, how often did you feel that you are a failure, that you have no clear goals, or felt bad about yourself?
* Please Select an Option
- Too often
- Very often
- Often
- Not often
- I didn’t feel that way
In the past two weeks, how often did you have repetitive thoughts or constant worries?
* Please Select an Option
- A lot
- They were acceptable
- I didn’t have any
In the past two weeks, were you easily annoyed or impulsive?
* Please Select an Option
Are you after quick answers or tips to help you deal with the issues you are facing or would you prefer to delve in and elaborate on them with your therapist?
* Please Select an Option
- I would like responses to my questions
- I would like to take my time to understand my patterns
- I expect a mix of the two
Is there an excessive intake of any addictive substance in your life?
* Please Select an Option
- Yes, and my main concern is about addiction
- Yes, but my main concern is not a bout addiction
- Not so excessive
- No
Please select your response
asuicidalthoughts
asuicidalattempts
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Consent is required
If you are between 13 and 18 years of age, you require the consent of a parent or legal guardian.
Do you have their consent to proceed?
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Thank you for answering our questionnaire.
We have enough information to match you with a therapist. Would you like to answer a few more questions or get matched now?
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Thank you for answering all the questions.
The therapist you select will have a better understanding of your needs and areas of concern.
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