Client Registration (PTQ+PHQ+GAD)

All those persons who wish to receive counselling are required to complete this Pre-Therapy Questionnaire before their first appointment with their allocated counsellor.

Once you have submitted the form, the Counselling Centre will then pass on this information to your counsellor, so that they can discuss your responses with you.

To maintain confidentiality, you are asked to enter your reference number issued to you by the Counselling Centre instead of your name.


If you are using a mobile phone instead of a pc to access this page, you may see a Microsoft forms box, you will need to click the link “Fill in the form” in order to continue.