This form is here to help me get a better sense of who you are, what’s been going on, and what may be bringing you to counselling at this point in your life. Your responses help guide our work together and give me a clearer understanding of how to support you in a way that feels thoughtful, collaborative, and grounded in your individual needs.

Everything shared here is confidential and will only be used for the purpose of supporting your care.

Please take your time with the form. If something feels difficult to answer, unclear, or simply not something you feel ready to get into yet, you are welcome to leave it blank. We can always return to it together later.

Thank you for being here. Reaching out for support is not always easy, and I appreciate you taking the time to begin the process.