The following questions are designed to give me an overview of you and your relationship history / current concerns. Some questions you may feel more comfortable discussing during our sessions in which case please just indicate that on the form so I am aware. 

Please note: where I am working with a couple, the content of your form is confidential to you and I, but please be aware I can’t hold secrets, for example if one partner has shared a relationship-compromising secret via this form (or in an individual session) and does not intend to tell their partner I would have to refer you on to a new therapist.

Should you have any questions please feel free to contact me.

For details on data protection please see my GDPR policy.