Let's start with your contact details.
Please fill all required fields before proceeding.
What type of therapy are you looking for?
What is your gender identity?
How old are you?
What is your relationship status?
Have you been to therapy before?
What has brought you to therapy today?
Have you been feeling down, depressed or hopeless in the past 2 weeks?
Are you currently employed?
Are you currently finding it difficult to manage work, your main relationships or running your home?
When was the last time you thought about suicide?
Do you currently experience anxiety, panic attacks or phobias?
Do you currently take any medication?
Have you any specific preferences for your Therapist?
How did you find us at FeelBetterTherapy?
What country are you located?
What is your flexibility around possible appointments times?
Next step
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