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We’re Here to Listen

You don’t have to face this alone—reach out and let’s talk together.

Gender:

Male Female Prefer not to say

Preferred Date & Time:

Preferred Mode:

Online

Previous Counselling Experience:

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How did you hear about us?

Google Social Referral

Is this your first visit?

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Area of Support:

Relationship / Marital Work-Life Balance Stress / Emotional Wellbeing Communication Issues Personal Growth

How can I help you? (Brief description)

I understand that this is a counselling service for emotional wellbeing and not a medical or psychiatric service.

I agree to provide accurate information and attend the session as scheduled.

I understand and agree to the payment, cancellation, and rescheduling policy.

* We promise not to disclose your personal information to third parties.

Your wellbeing is not a luxury — it is a priority. Confidential, compassionate counselling in English and Tamil.