Contact Email: info@strengthcounselling.ca Phone: 1 (866) 295-0551 FollowFollowFollow Fill out the brief questionnaire below to help us understand what you’re looking for. We will be in touch with you within 48 hours. We’re thankful for your bravery and excited for all you may achieve with us! Full Name Email Phone Are you seeking counselling for yourself or someone else?Individual (for myself)For someone else Reason for seeking services Have you (or the person you’re filling this out for) had counselling in the past?YesNo If yes, specify the outcome and if it was positive or negative: Location (City/Town for timezone calculation) Where did you hear about us? Are we permitted to send you text messages?YesNo Are we permitted to leave voicemail messages?YesNo Do you know anyone who is a current, or was a past, client of ours?YesNo Please share their name and if you know who they are working/worked with.*Please note this information helps us to prevent any conflict of interest when assigning clients to one of our counsellors. What approach do you prefer from your counsellor?Softer approachFirmer approachSomewhere in betweenNo Preference Counsellor Gender PreferenceMaleFemaleNon-binaryNo Preference Are there any barriers/reasons why you would not be able to attend sessions online?YesNo If yes, please let us know the reason below Preferred day(s) and time(s) of appointment.Please note that we cannot guarantee accommodation of this preference, but we will do our best! Honestly considering your budget, how much are you able to pay for counselling (per session)?Please review our cost structure for more information about these options. CaptchaPlease enter the text visible in the above image. Time is Up! Time's up
