Assessment

Pre-Counselling Assessment Form

Please fill out this Self Evaluation/Assessment form, to help me get to know you before your session, as this will help me proceed, while respecting your privacy.
  • Please select the counselling session type you paid for. Thank you.
  • You may simply type: Day/Month/Year, Example: 17/06/1985
  • Please enter international code. Ex: +140320983753, +2348032667005, +27738245560
  • File Types: i.e. jpg, gif, png, pdf, doc
  • Take your time to cover as much details as you can. This will greatly help make the most of your time with me.